I have previously introduced a patient with thyroid cancer whom I treated who had radiofrequency and had another surgery, but still had cancer. Nowadays, radiofrequency treatment for benign thyroid nodules and even thyroid cancer is performed in China, and the fancy name is that the mass can be removed by inserting a needle, and there is no incision and no scar. Because of this, many patients are at a loss and hesitate because of the incision of conventional surgery. The following is the current situation in the United States: Radiofrequency treatment has certain indications in liver cancer, kidney cancer, and colon cancer, but the FDA does not allow it to be applied to thyroid swellings, especially thyroid cancer, which is not approved by the FDA, and it is illegal to treat thyroid nodules and thyroid cancer with radiofrequency in the United States. And domestic? It’s in full swing. First of all, we need to clarify: 1. RF treatment is not a new technology: the unit promoting RF describes RF treatment as a new technology, which is to confuse patients, RF technology is a mature technology more than 20 years ago, and it is a very mature and routine treatment in liver cancer treatment. 2. RF treatment is not minimally invasive: after RF, the swelling and adjacent tissues will be coagulated, and if it cannot be absorbed, it will become a lump, which will affect the appearance and function. It depends on the amount of remaining thyroid gland, too little remaining, the body is not able to absorb. The thyroid gland is surrounded by the trachea, esophagus, large blood vessels in the neck and the recurrent laryngeal nerve, none of which should be damaged. If the swelling is close to these organs, the radiofrequency range cannot be expanded in accordance with the tumor principle, and the treatment effect is naturally greatly reduced. 3. The most important thing is the effect. In many benign masses, multiple nodules account for most of them. Small masses (generally considered less than 3 cm) do not need any treatment, and regular monitoring is sufficient. In this case, unless all the thyroid gland is ablated, as long as there is a residual thyroid gland, it is bound to grow nodules again in the future. For large masses, such as those near the trachea, esophagus, large blood vessels in the neck and the recurrent laryngeal nerve, the surgical effect cannot be guaranteed. Even for the smallest thyroid cancer, the entire thyroid gland has to be removed from one side, which is impossible to do with radiofrequency. Moreover, thyroid cancer requires routine removal of lymph nodes, which is also impossible to do with radiofrequency treatment. The cost of domestic radiofrequency treatment is very high, usually close to 20,000 yuan a time. Sadly, many patients are the ones with multiple benign thyroid nodules and are scheduled for multiple radiofrequency treatments, which is very expensive. It is too easy to carry out a technology domestically, and the hope can only be that the patients themselves identify the purpose of their own treatment to get the best results for the purpose.