OVERVIEW OF RESULTS IN THE TREATMENT OF BENIGN THYORID NODULES WITH RADIOFREQUENCY ABLATION
Main Article Content
Abstract
Objective: Describe and summarize the results of benign thyroid tumor treatment using radiofrequency ablation (RFA). Methods: Overview of the thesis. In this study, we used data from Pubmed and Google Scholar to search, filter related articles, describe, and summarize the results of benign thyroid tumor treatment using RFA. Results: After searching and screening, we collected 15 articles that met the criteria for analysis. All articles reported a volume reduction rate of greater than 50% at the final evaluation. The average success rate was over 90% in 10 studies. Six articles evaluated clinical efficacy with the largest symptom reduction score being 4.08 and the largest aesthetic score reduction being 3. Five articles evaluated the average volume, with the smallest residual average volume being 0.2 ml after 84 months of follow-up. Twelve articles reported complications, with the three most common being pain, hematoma, and voice changes. There were two cases of irreversible complications: hyperthyroidism and recurrent laryngeal nerve paralysis. No dangerous complications were recorded. Conclusion: Using RFA to treat benign thyroid nodules is a method that utilizes heat to minimize the volume of the nodule. This method is highly effective, with an average success rate of over 90%. It is also a safe method, with mainly mild complications that can self-resolve or be managed conserv.
Article Details
Keywords
Benign thyroid nodules, radiofrequency ablation
References
2. Rabuffi P, Spada A, Bosco D, et al. Treatment of thyroid nodules with radiofrequency: a 1-year follow-up experience. J Ultrasound. 2019;22(2):193-199.
3. Ha EJ, Baek JH, Che Y, et al. Radiofrequency ablation of benign thyroid nodules: recommendations from the Asian Conference on Tumor Ablation Task Force. Ultrasonography. 2021;40(1):75-82.
4. Jeong WK, Baek JH, Rhim H, et al. Radiofrequency ablation of benign thyroid nodules: safety and imaging follow-up in 236 patients. Eur Radiol. 2008;18(6):1244-1250.
5. Bernardi S, Stacul F, Michelli A, et al. 12-month efficacy of a single radiofrequency ablation on autonomously functioning thyroid nodules. Endocrine. 2017;57(3):402-408.
6. Yan L, Zhang M, Xie F, Ma J, Xiao J, Luo Y. Efficacy and safety of radiofrequency ablation for benign thyroid nodules in patients with previous thyroid lobectomy. BMC Med Imaging. 2021; 21(1):47.
7. Aldea Martínez J, Aldea Viana L, López Martínez JL, Ruiz Pérez E. Radiofrequency Ablation of Thyroid Nodules: A Long-Term Prospective Study of 24 Patients. J Vasc Interv Radiol JVIR. 2019;30(10):1567-1573.
8. Chung SR, Suh CH, Baek JH, Park HS, Choi YJ, Lee JH. Safety of radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: a systematic review and meta-analysis. Int J Hyperth Off J Eur Soc Hyperthermic Oncol North Am Hyperth Group. 2017;33(8):920-930.