Minimally invasive procedure cures rare thyroid disorder without scars
The patient, a Professor at a university, had been having trouble breathing when in a recumbent position, as well as palpable neck swelling. Although retrosternal goiters typically present in elderly individuals, predominantly women over 50, this case was exceptional due to the patient's young age and the remarkable extent of the goiter's growth, reaching as far as the aortic arch. The cause of multinodular goiters in younger women, may arise secondary to iodine deficiency, hereditary goiter syndromes, or prolonged stimulation by thyroid-stimulating hormone (TSH), although we couldn't establish cause in this patient.
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Hans India
2 days ago
- Hans India
Breakthrough Minimally Invasive Procedure Cures Rare Thyroid Disorder Without Scars
Bengaluru: A 41-year-old woman Sudha (name changed), admitted to Aster Whitefield, underwent a complex and uncommon procedure where a rare form of retrosternal goitre (a thyroid swelling) was successfully treated using a combination of thyroid artery embolization (TAE) and Radiofrequency ablation (RFA). This minimally invasive approach helped the patient to get rid of the swelling that had extended deep into the chest and avoid a risky open surgery, thereby assuring her a speedy recovery. The patient, a professor at a university, had been having trouble breathing when in a recumbent position, as well as palpable neck swelling. Although retrosternal goiters typically present in elderly individuals, predominantly women over 50, this case was exceptional due to the patient's young age and the remarkable extent of the goiter's growth, reaching as far as the aortic arch. The cause of multinodular goiters in younger women, may arise secondary to iodine deficiency, hereditary goiter syndromes, or prolonged stimulation by thyroid-stimulating hormone (TSH), although we couldn't establish cause in this patient. The case was handled by interventional radiology team comprising Dr. Dheeraj Shyam, Lead Consultant – Interventional Radiology, and Dr. Madhushree, Specialist – Interventional Radiology, of Aster Whitefield Hospital using a minimally invasive procedure- Thyroid artery embolisation. A Preliminary CT angiogram and an ultrasound was done. It revealed that the enlarged multinodular thyroid was deriving blood supply from two pairs of thyroid arteries namely inferior and superior thyroid arteries on either sides. In this case the predominant arterial supply of the goitre was from right inferior thyroid artery. The interventional radiology team performed a minimally invasive procedure called thyroid artery embolisation. The procedure significantly reduced the size of the goiter overtime alleviating the patient's symptoms. Real-time imaging was employed, and three out of four arteries were occluded using medically safe particles (PVA particles), effectively cutting off the blood supply thus causing the goiter to shrink. RFA was a reinforcement strategy for one of the small nodule reported as Bethesda III, which again was a minimally invasive method. 'Thyroid artery embolization' is a precise and targeted procedure, beneficial for patients with large multinodular goitre and retrosternal goiters who are either unsuitable for surgery or prefer to avoid it. In this case, the dominant arterial supply from the right inferior thyroid artery allowed us to safely perform embolisation using polyvinyl alcohol particles. This significantly reduced thyroid vascularity and size. In India, thyroid artery embolization (TAE) and radiofrequency ablation (RFA) for benign thyroid conditions, such as retrosternal goitre, are not yet widely available and remain limited to specialized tertiary care centers, said Dr. Dheeraj Shyam, Lead Consultant – Interventional Radiology at Aster Whitefield Hospital. Careful planning was essential due to the proximity of the goitre to the aortic arch and mediastinal structures. The use of real-time ultrasound and fluroscopy guidance helped us precisely target the artery and nodule. With embolization and RFA, we achieved optimal volume reduction and symptom relief, while sparing the patient the risks of open neck surgery,' said Dr. Madhushree, Specialist Interventional radiologist, Aster Whitefield Hospital. The patient responded well, reporting major relief in breathing within days. A follow-up scan after four weeks revealed the thyroid was smaller and less vascular. With no complications and very little stay in hospital, she returned to normal life shortly with few follow-ups scheduled to check on her recovery.
Hans India
6 days ago
- Hans India
Minimally invasive procedure cures rare thyroid disorder without scars
Bengaluru: A 41-year-old woman Sudha (name changed), admitted to Aster Whitefield, underwent a complex and uncommon procedure where a rare form of retrosternal goitre (a thyroid swelling) was successfully treated using a combination of thyroid artery embolization (TAE) and Radiofrequency ablation (RFA). This minimally invasive approach helped the patient to get rid of the swelling that had extended deep into the chest and avoid a risky open surgery, thereby assuring her a speedy recovery. The patient, a Professor at a university, had been having trouble breathing when in a recumbent position, as well as palpable neck swelling. Although retrosternal goiters typically present in elderly individuals, predominantly women over 50, this case was exceptional due to the patient's young age and the remarkable extent of the goiter's growth, reaching as far as the aortic arch. The cause of multinodular goiters in younger women, may arise secondary to iodine deficiency, hereditary goiter syndromes, or prolonged stimulation by thyroid-stimulating hormone (TSH), although we couldn't establish cause in this patient.
The Hindu
11-06-2025
- The Hindu
Create awareness on college-level scholarship for transpersons in Tamil Nadu: activists
Tamil Nadu government's move to cover higher education expenses for transpersons requires more awareness, trans rights activists said. This year, the Social Welfare Department has not received any standalone applications for the scholarship. According to sources in the department, 12 applicants from the Pudhumai Penn scheme, who were also eligible for the transpersons scholarship, were identified. The scholarship was launched in February2024 to increase the enrolment of transpersons in collegiate education. Last year, five students from the trans community benefited from the scheme, officials said. The scheme covers every expenses related to education, including hostel, food, and tuition. Despite the government allocating ₹2 crore for the scheme to promote higher education among the trans community, applicants have been few and far between. 'This is usually the crucial age that transpersons left their homes to get surgery. They will require money to survive and save up for the surgery. Studies take a backseat,' said Sudha, a transgender activist who is a part of Sahodaran, a non-governmental organisation. Rural outreach Further, Ms. Sudha added that there needed to be more awareness regarding the scholarship. 'In villages, there are transpersons who are yet to hear of the scheme. The Social Welfare Department needs to hold awareness programmes in these areas to ensure that those interested can enrol,' she added. She pointed out that due to the support of the State government, many universities offered full scholarship courses or ones at subsidised rates, which have been very beneficial for the community. According to Fred Rogers (he/him), transgender rights activist, said though transmen were interested in the scholarship, many assumed that since the Government Order mentions 'Thirunangai', transmen would be turned away. However, officials in the department clarified that the scheme was applicable to all transpersons. Further, Mr. Rogers added that the scheme required the applicant to possess a transperson identity card. 'Many transpersons who might be pursuing higher education would be scared to come out fearing backlash from the people around them. This leads to many not having an ID and, hence, not being able to avail themselves of the scholarship. A safe way to access the scheme would be more ideal,' he added. Officials in the Social Welfare Department said that currently, the scheme covered only the first degree a transperson pursues. 'We are considering including other degrees including postgraduate courses and to encourage them to study further,' the official added.
