射频消融术治疗甲状腺癌

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Techniques in Vascular and Interventional Radiology Pub Date : 2022-06-01 DOI:10.1016/j.tvir.2022.100825
Pia Pace-Asciak MASc, MD, FRCSC , Jon O. Russell MD , Ralph P. Tufano MD
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引用次数: 3

摘要

在过去的十年里,人们看到了一种从手术治疗所有甲状腺癌到倾向于对低风险甲状腺癌采取不那么激进的方法的转变。手术历来是大多数甲状腺癌的治疗选择。主动监测已成为低风险甲状腺癌患者的替代选择。这种方法已在世界范围内被接受,并且可靠的证据支持其在精心挑选的患者中的肿瘤学安全性。然而,并非所有患者都希望接受终身监测,有些患者可能希望以微创方式治疗癌症。热消融已经发展成为一种微创替代手术和积极监测的选择性甲状腺恶性患者。在此,我们回顾了热消融技术的作用,特别是射频消融,治疗小原发性甲状腺癌,复发性甲状腺癌和淋巴结转移。
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The Treatment of Thyroid Cancer With Radiofrequency Ablation

In the past decade, there has seen been a shift from treating all thyroid cancer surgically, to favoring less aggressive approaches for low-risk thyroid cancer. Surgery was historically the treatment of choice for most thyroid cancer. Active surveillance has emerged as an alternative for low-risk thyroid cancer in select patients. This approach has been accepted worldwide, and sound evidence supports its oncological safety in carefully selected patients. However, not all patients want to undergo lifelong monitoring, and some patients may wish to treat their cancer in a minimally invasive manner. Thermal ablation has developed as a minimally invasive alternative to surgery and active surveillance for well selected patients with thyroid malignancy. Herein, we review the role of thermally ablative techniques, specifically radiofrequency ablation, for the treatment of small primary thyroid cancers, recurrent thyroid cancer, and lymph node metastases.

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来源期刊
Techniques in Vascular and Interventional Radiology
Techniques in Vascular and Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
2.70
自引率
0.00%
发文量
47
期刊介绍: Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.
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