a Department of Radiology and Research Institute of Radiology , University of Ulsan College of Medicine, Asan Medical Center , Seoul , Korea.
Int J Hyperthermia. 2017 Dec;33(8):938-945. doi: 10.1080/02656736.2017.1361048. Epub 2017 Aug 11.
Papillary thyroid carcinoma (PTC) is the most common subtype of thyroid malignancy and has a good prognosis and low mortality rate. Surgery is the standard treatment for patients with primary and recurrent thyroid cancer. Although patients with PTC usually exhibit excellent treatment outcome, the incidence of recurrence in the neck ranges from 20% to 59%. When a patient with thyroid cancer is contraindicated for surgery, ultrasound (US)-guided ablation techniques, including ethanol ablation (EA) and thermal ablations, are suggested alternatives. In this review, we evaluated the indications, devices, techniques, clinical outcomes, and complications associated with US-guided EA and thermal ablations based on available scientific evidence and expert opinions regarding the use of ablation for primary and recurrent thyroid cancers.
甲状腺乳头状癌（PTC）是甲状腺恶性肿瘤中最常见的亚型，具有良好的预后和较低的死亡率。手术是治疗原发性和复发性甲状腺癌患者的标准方法。尽管 PTC 患者通常表现出良好的治疗效果，但颈部复发的发生率为 20%至 59%。当甲状腺癌患者不适合手术时，超声（US）引导下的消融技术，包括乙醇消融（EA）和热消融，是建议的替代方法。在本综述中，我们根据现有的科学证据和专家意见，评估了 US 引导下 EA 和热消融在原发性和复发性甲状腺癌中的适应证、设备、技术、临床结果和并发症。
