Jeong So Yeong, Baek Jung Hwan
Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Radiol Med. 2025 Jan;130(1):111-120. doi: 10.1007/s11547-024-01924-6. Epub 2024 Nov 18.
Thermal ablation is widely accepted as an effective and safe method for treating benign thyroid nodules. Many studies reporting short-term results have consistently demonstrated the efficacy and safety of thermal ablation. However, as the clinical application of thermal ablation grows and follow-up periods extend, long-term clinical outcomes of thermal ablation have revealed several issues, including regrowth and diagnosis of malignancy in ablated lesions. In this systematic review, we analyze the long-term clinical outcomes of thyroid thermal ablation, focusing on regrowth, delayed surgery, and the potential for malignancy after thermal ablation and propose solutions to address these unresolved issues and enhance the management of benign thyroid nodules through thermal ablation.
热消融作为治疗良性甲状腺结节的一种有效且安全的方法已被广泛接受。许多报告短期结果的研究一致证明了热消融的有效性和安全性。然而,随着热消融临床应用的增加以及随访期的延长,热消融的长期临床结果显示出一些问题,包括消融病灶的再生长和恶性肿瘤的诊断。在本系统评价中,我们分析了甲状腺热消融的长期临床结果,重点关注热消融后的再生长、延迟手术以及恶性肿瘤的可能性,并提出解决这些未解决问题的方案,以通过热消融加强对良性甲状腺结节的管理。