Long-term follow-up of the radiofrequency ablation of benign thyroid nodules : the value of additional treatment

PURPOSE: This study aimed to evaluate the efficacy of additional radiofrequency ablation (RFA) treatment for benign thyroid nodules.

METHODS: Electronic medical records at a single institution from September 2008 to August 2016 were searched, and consecutive patients treated with RFA due to benign thyroid nodules with cosmetic or symptomatic problems were enrolled. All patients were followed up for at least 30 months. The nodules were divided into three groups: group 1 included nodules that met the criteria for additional treatment and underwent additional treatment, group 2 included nodules that met the criteria but did not undergo additional treatment, and group 3 included nodules that did not meet the criteria. The ablation results were compared among the three groups in terms of the initial ablation ratio (IAR) and volume reduction ratio (VRR).

RESULTS: Ninety nodules from 88 patients were included in the study. At the last follow-up, group 1 showed a significantly smaller nodule volume and larger VRR (2.5 mL and 84.6%, respectively) than group 2 (8.1 mL and 39.8%, respectively, P<0.001), but did not present a significant difference from group 3 (0.9 mL, P=0.347, and 92.8%, P=0.238). The IAR was significantly higher in group 3 (94.5%) than in the other two groups (group 1, 81.1%; group 2, 82.8%; P<0.001).

CONCLUSION: Multiple treatment sessions achieve greater VRR. Therefore, additional treatment could be considered for patients who meet the corresponding criteria.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Ultrasonography (Seoul, Korea) - 41(2022), 4 vom: 15. Okt., Seite 661-669

Sprache:

Englisch

Beteiligte Personen:

Kim, Hyun Jin [VerfasserIn]
Baek, Jung Hwan [VerfasserIn]
Cho, Woojin [VerfasserIn]
Sim, Jung Suk [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Radiofrequency ablation
Thyroid gland
Thyroid nodule

Anmerkungen:

Date Revised 14.10.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.14366/usg.21231

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM34557074X