The efficacy and complications of radiofrequency ablation of thyroid nodules.

Ha, Eun Ju; Baek, Jung Hwan; Lee, Jeong Hyun
Current opinion in endocrinology, diabetes, and obesity
2011Oct ; 18 ( 5 ) :310-4.
저자 상세정보
Ha, Eun Ju -
Baek, Jung Hwan -
Lee, Jeong Hyun -
PURPOSE OF REVIEW: The use of radiofrequency ablation has increased rapidly in recent years and is receiving increased attention as a minimally invasive method to treat benign and malignant thyroid nodules. RECENT FINDINGS: Radiofrequency ablation has been shown to be an alternative to surgery in the treatment of benign thyroid nodules. Radiofrequency ablation of benign cold nodules showed volume reductions of 32.7-58.2% at 1 month and 50.7-84.8% at 6 months, while reducing symptoms and cosmetic problems. Radiofrequency ablation of autonomously functioning thyroid nodules effectively improves thyroid function and reduces nodule volume. Recently, radiofrequency ablation of recurrent thyroid cancers showed good short-term results for locoregional control of well differentiated thyroid carcinoma in patients at high risk for surgery. Various complications of radiofrequency ablation have been reported, including pain, voice change, hematoma, skin burn at the puncture site, thyrotoxicosis, hypothyroidism, edema, and fever, but most patients recovered spontaneously without sequelae. SUMMARY: Radiofrequency ablation is an effective and well tolerated treatment option for benign thyroid nodules. Radiofrequency ablation of recurrent thyroid cancers may be an alternative to surgery in patients at high surgical risk.
ethanol ablation; percutaneous laser ablation; radiofrequency ablation; thyroid cancer; thyroid nodule
Catheter Ablation/*methods, Humans, Radio Waves/*therapeutic use, Thyroid Nodule/*surgery, Treatment Outcome

주제명(Target field)
연구참여(Sample size)
질병특성(Condition Category)
연구설계(Study Design)
중재방법(Intervention Type)
중재명칭(Intervention Name)
Radiofrequency ablation is an effective and well tolerated treatment option in patients with benign thyroid nodules who complain of symptoms and/or cosmetic problems; Pain at the ablated site is the most common complaint during the procedure, with pain sometimes radiating to the head, ears, shoulders, chest, back, or teeth. As pain was rapidly relieved when radiofrequency power was reduced or turned off, oral painkillers are selectively used. In a large series study, only 5.5% of patients who underwent radiofrequency ablation required analgesics for more than 2 days.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
ICD 03