Rangel Leonardo, Volpi Leonardo M, Stabenow Elaine, Steck Jose Higino, Volpi Erivelto, Russell Jonathon O, Tufano Ralph P
State University of Rio de Janeiro, Brazil.
Santa Casa University of São Paulo, Brazil.
World J Otorhinolaryngol Head Neck Surg. 2020 Sep 19;6(3):188-193. doi: 10.1016/j.wjorl.2020.07.002. eCollection 2020 Sep.
Thermal ablation of thyroid nodules is new modality for the management of the benign and malign lesions. This minimally invasive treatment is performed as an outpatient, local anesthetic, single professional procedure that can treat neoplastic lesions without removing normal thyroid tissue and thus avoiding hypothyroidism.
A comprehensive review of the most relevant literature regarding the thermal ablation of benign and malign nodules was performed in order to currently define its role on the management of the nodular thyroid disease. The data was divided into benign and malign literature.
The benign nodules can be effectively treated by radiofrequency ablation (RFA) but some limitation exists regarding the nodule's size but not nodules characteristics. The RFA of primary malign tumors of the thyroid recently demonstrated positive and safe long-term follow-up and encouraged additional investigation and possibly a definitive role in the management of these low risk nodules.
RFA is a safe, cost-effective minimally invasive procedure that avoids thyroid tissue removal while destroying neoplastic one thus, preventing hypothyroidism.
甲状腺结节的热消融是一种用于治疗良性和恶性病变的新方法。这种微创治疗在门诊进行，采用局部麻醉，由单一专业人员操作，可在不切除正常甲状腺组织的情况下治疗肿瘤性病变，从而避免甲状腺功能减退。
对有关良性和恶性结节热消融的最相关文献进行全面综述，以便目前确定其在结节性甲状腺疾病管理中的作用。数据分为良性和恶性文献。
射频消融（RFA）可有效治疗良性结节，但在结节大小方面存在一些限制，而与结节特征无关。甲状腺原发性恶性肿瘤的RFA最近显示出长期随访结果良好且安全，并鼓励进一步研究，其可能在这些低风险结节的管理中发挥决定性作用。
RFA是一种安全、经济有效的微创手术，可避免切除甲状腺组织，同时破坏肿瘤组织，从而预防甲状腺功能减退。
