TY - JOUR
T1 - Update on the role of ultrasound guided radiofrequency ablation for thyroid nodule treatment
AU - Radzina, Maija
AU - Cantisani, Vito
AU - Rauda, Madara
AU - Nielsen, Michael Bachmann
AU - Ewertsen, Caroline
AU - D'Ambrosio, Ferdinando
AU - Prieditis, Peteris
AU - Sorrenti, Salvatore
PY - 2017/5
Y1 - 2017/5
N2 - Thyroid nodules can be frequently detected in general population, most of them are benign, however malignant cases are rising in the past decades. Ultrasound (US) is the most common imaging modality to assess thyroid nodular lesions, plan patient work-up and guide minimally invasive treatment. The present review paper has been researched to evaluate the current status of radiofrequency ablation (RFA) treatment in order to evaluate indications, techniques, complications, limitations and outcome assessment in benign solid, partially cystic nodules and recurrent malignant nodules. RFA comparison with other ablation techniques has been provided as well. US guided Radiofrequency ablation has been proved to be effective and safe in cases of benign thyroid nodules and a promising treatment method alternative to surgery for patients with recurrent papillary thyroid cancer. It's major role lies in significant reduction of thyroid nodule mean volume and improvement of the patient symptoms. However, future multicenter studies are warranted to better clarify the multi-parametric patient selection criteria and evaluate RFA technique efficacy, advantages and limitations in the variety of thyroid nodular disease.
AB - Thyroid nodules can be frequently detected in general population, most of them are benign, however malignant cases are rising in the past decades. Ultrasound (US) is the most common imaging modality to assess thyroid nodular lesions, plan patient work-up and guide minimally invasive treatment. The present review paper has been researched to evaluate the current status of radiofrequency ablation (RFA) treatment in order to evaluate indications, techniques, complications, limitations and outcome assessment in benign solid, partially cystic nodules and recurrent malignant nodules. RFA comparison with other ablation techniques has been provided as well. US guided Radiofrequency ablation has been proved to be effective and safe in cases of benign thyroid nodules and a promising treatment method alternative to surgery for patients with recurrent papillary thyroid cancer. It's major role lies in significant reduction of thyroid nodule mean volume and improvement of the patient symptoms. However, future multicenter studies are warranted to better clarify the multi-parametric patient selection criteria and evaluate RFA technique efficacy, advantages and limitations in the variety of thyroid nodular disease.
KW - Radiofrequency ablation
KW - Radiofrequency thermal ablation
KW - RFA
KW - Thyroid
KW - Thyroid gland
KW - Thyroid nodule
KW - Ultrasonography
KW - Ultrasound
U2 - 10.1016/j.ijsu.2017.02.010
DO - 10.1016/j.ijsu.2017.02.010
M3 - Review
C2 - 28506420
AN - SCOPUS:85018924727
SN - 1743-9191
VL - 41
SP - S82-S93
JO - International Journal of Surgery
JF - International Journal of Surgery
IS - S1
ER -
