Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Dobnig, H; Amrein, K.
Value of monopolar and bipolar radiofrequency ablation for the treatment of benign thyroid nodules.
Best Pract Res Clin Endocrinol Metab. 2019; 33(4):101283-101283
Doi: 10.1016/j.beem.2019.05.007
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Dobnig Harald
- Co-Autor*innen der Med Uni Graz
- Amrein Karin
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- Abstract:
- Only a few thyroid nodules are perceived as functional or optically disturbing. If there is a need for action, surgical intervention is the long-term standard by which thermoablative procedures (radiofrequency-, laser-, microwave ablation, high intensity focused ultrasound) must be measured against in terms of safety, effectiveness and patient satisfaction. Prior to intervention assessment of the dignity of the nodule by ultrasound-guided fine needle aspiration is essential for cold and warm nodules, as is the confirmation of an inconspicuous cervical lymph node status. The short-term treatment results of these newer interventions in terms of nodule volume reduction and symptomatic improvement are promising and the general complication rate of the procedures is low. Since functional thyroid parenchyma is preserved, maintaining normal thyroid status is the rule. The procedure is usually performed on an outpatient basis, under local anesthesia and monitoring. The subsequent convalescence is usually very short. Most studies are available on monopolar radiofrequency ablation. Several professional societies have defined indications for radiofrequency ablation (RFA), but these need to be further refined based on practical experience and literature. An acceptable long-term recurrence rate still has to be proven for practically all thermoablative methods, for monopolar RFA limited long-term data are encouraging so far. The recurrence rate as well as patient satisfaction will provide the basis for a meaningful overall cost-benefit analysis in the future. Copyright © 2019. Published by Elsevier Ltd.
- Find related publications in this database (Keywords)
- thermoablation
- RFA
- thyroid nodule
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- laser ablation