The advances of ultrasound-guided thermal ablation for the treatment of papillary thyroid microcarcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HAN Xi , ZHANG Guang ,  SUN Hui

Division of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Engineering Laboratory for Thyroid Disease Control, Changchun, Jilin 130033, P. R. China;

Corresponding?author：

SUN Hui, Email: sunhui1229@163.com

Keywords：

thyroid microcarcinoma; thermal ablation; ultrasound-guided

DOI：

10.7507/1007-9424.201612010

Video：

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Objective To summarize the progress of the application of ultrasound-guided thermal ablation for treatment of papillary thyroid microcarcinoma (PTMC). Methods The relevant literatures of thyroid nodules treated by ultrasound-guided thermal ablation were reviewed by adopting the methods of literature review. Results In conditions of grasping the therapeutic indication strictly and evaluating preoperative various aspects sufficiently, it reveals a certain feasibility and validity applying ultrasound-guided thermal ablation in the treatment of PTMC classified in the low-risk group. Conclutions Possessing the advantages of minimal invasive techniques, low-risks, beauty and rapidness, ultrasound-guided thermal ablation might be recommended as an alternative to a low-risk PTMC patient who is at high risk in general anaesthesia operation or intolerant to open operation.

Citation： HAN Xi, ZHANG Guang, SUN Hui. The advances of ultrasound-guided thermal ablation for the treatment of papillary thyroid microcarcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(9): 1156-1160. doi: 10.7507/1007-9424.201612010 Copy

1.	Dideban S, Abdollahi A, Meysamie A, et al. Thyroid papillary microcarcinoma: etiology, clinical manifestations, diagnosis, follow-up, histopathology and prognosis. Iran J Pathol, 2016, 11(1): 1-19.
2.	詹維偉, 江珊. 甲狀腺微小乳頭狀癌的診治現狀. 中華醫學超聲雜志(電子版), 2014, 11(5): 361-365.
3.	Vasileiadis I, Karatzas T, Vasileiadis D, et al. Clinical and pathological characteristics of incidental and nonincidental papillary thyroid microcarcinoma in 339 patients. Head Neck, 2014, 36(4): 564-570.
4.	劉池拽, 鄧建偉, 師天雄. 射頻消融技術在甲狀腺疾病中的臨床進展. 中華普通外科學文獻(電子版), 2015, 9(3): 238-241.
5.	李晨, 殷晶晶, 王加林. 甲狀腺結節微創治療現狀. 山東醫藥, 2016, 56(26): 111-113.
6.	黃真輝, 聶生東. 經皮激光消融技術應用研究進展. 生物醫學工程學進展, 2014, 35(4): 228-232.
7.	Aysan E, Idiz UO, Akbulut H, et al. Single-session radiofrequency ablation on benign thyroid nodules: a prospective single center study: Radiofrequency ablation on thyroid. Langenbecks Arch Surg, 2016, 401(3): 357-363.
8.	Zhao Q, Tian G, Kong D, et al. Meta-analysis of radiofrequency ablation for treating the local recurrence of thyroid cancers. J Endocrinol Invest, 2016, 39(8): 909-916.
9.	盧峰, 徐輝雄, 郭樂杭, 等. 液體隔離帶在超聲引導穿刺頸部高風險病灶中的應用. 中華醫學超聲雜志(電子版), 2014, 11(12): 1006-1009.
10.	石彥, 李銳, 郝迎學, 等. 激光消融治療 48 例甲狀腺良性結節臨床分析. 第三軍醫大學學報, 2016, 38(13): 1542-1546.
11.	Baek JH, Lee JH, Valcavi R, et al. Thermal ablation for benign thyroid nodules: radiofrequency and laser. Korean J Radiol, 2011, 12(5): 525-540.
12.	Pacini F, Castagna MG, Brilli L, et al. Thyroid cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol, 2012, 23 Suppl 7: vii110-vii119.
13.	Perros P, Boelaert K, Colley S, et al. Guidelines for the management of thyroid cancer. Clin Endocrinol (Oxf), 2014, 81 Suppl 1: 1-122.
14.	Miyauchi A. Clinical trials of active surveillance of papillary microcarcinoma of the thyroid. World J Surg, 2016, 40(3): 516-522.
15.	Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid, 2016, 26(1): 1-133.
16.	Wang TS, Goffredo P, Sosa JA, et al. Papillary thyroid microcarcinoma: an over-treated malignancy ?: Reply. World J Surg, 2016, 40(3): 766-777.
17.	Valcavi R, Piana S, Bortolan GS, et al. Ultrasound-guided percutaneous laser ablation of papillary thyroid microcarcinoma: a feasibility study on three cases with pathological and immunohistochemical evaluation. Thyroid, 2013, 23(12): 1578-1582.
18.	Papini E, Guglielmi R, Gharib H, et al. Ultrasound-guided laser ablation of incidental papillary thyroid microcarcinoma: a potential therapeutic approach in patients at surgical risk. Thyroid, 2011, 21(8): 917-920.
19.	Heck K, Happel C, Grünwald F, et al. Percutaneous microwave ablation of thyroid nodules: effects on thyroid function and antibodies. Int J Hyperthermia, 2015, 31(5): 560-567.
20.	郭樂杭, 徐輝雄. 超聲引導激光消融治療甲狀腺結節的進展. 中華醫學超聲雜志(電子版), 2013, 10(5): 360-363.
21.	Baek JH, Lee JH, Sung JY, et al. Complications encountered in the treatment of benign thyroid nodules with US-guided radiofrequency ablation: a multicenter study. Radiology, 2012, 262(1): 335-342.
22.	Ha EJ, Baek JH, Lee JH. The efficacy and complications of radiofrequency ablation of thyroid nodules. Curr Opin Endocrinol Diabetes Obes, 2011, 18(5): 310-314.
23.	Barczyński M, Konturek A, Stopa M, et al. Clinical value of intraoperative neuromonitoring of the recurrent laryngeal nerves in improving outcomes of surgery for well-differentiated thyroid cancer. Pol Przegl Chir, 2011, 83(4): 196-203.
24.	Kim YS, Rhim H, Tae K, et al. Radiofrequency ablation of benign cold thyroid nodules: initial clinical experience. Thyroid, 2006, 16(4): 361-367.
25.	婁雪峰, 吳鳳林, 紀莉, 等. 射頻消融高風險甲狀腺結節避免喉返神經損傷的方法探討. 中國超聲醫學雜志, 2014, 30(7): 577-580.
26.	Korkusuz H, Happel C, Heck K, et al. Percutaneous thermal microwave ablation of thyroid nodules. Preparation, feasibility, efficiency. Nuklearmedizin, 2014, 53(4): 123-130.
27.	隋洋, 吳鳳林, 孫醫學. 超聲引導下射頻消融甲狀腺結節的并發癥與預防方法探討. 醫學影像學雜志, 2014, 24(1): 32-35.
28.	朱精強, 馬宇, 劉楓. 甲狀腺結節消融治療的現狀及展望. 中國普外基礎與臨床雜志, 2015, 22(7): 775-778.
29.	郝少龍, 馬紀紅, 姜立新, 等. 熱消融術在甲狀腺結節微創治療中的應用進展. 中華普通外科學文獻(電子版), 2016, 10(1): 77-80.
30.	甲狀腺腫瘤專業委員會, 浙江省抗癌協會. 甲狀腺良性結節、微小癌及頸部轉移性淋巴結熱消融治療浙江省專家共識(2015版). 中國普通外科雜志, 2016, 25(7): 944-946.
31.	中華醫學會內分泌學分會, 中華醫學會外科學分會, 中國抗癌協會頭頸腫瘤專業委員會, 中華醫學會核醫學分會. 甲狀腺結節和分化型甲狀腺癌診治指南. 中國腫瘤臨床, 2012, 39(17): 1249-1272.
32.	Siddiqui S, White MG, Antic T, et al. Clinical and pathologic predictors of lymph node metastasis and recurrence in papillary thyroid microcarcinoma. Thyroid, 2016, 26(6): 807-815.
33.	章建全. 經皮熱消融治療在甲狀腺乳頭狀癌及其區域淋巴結轉移中的應用前景. 中華醫學超聲雜志(電子版), 2014, 11(8): 606-609.
34.	高明, 葛明華, 嵇慶海, 等. 甲狀腺微小乳頭狀癌診斷與治療中國專家共識(2016版). 中國腫瘤臨床, 2016, 43(10): 405-411.
35.	Yue WW, Li XL, Xu HX, et al. Quality of life and cost-effectiveness of radiofrequency ablation versus open surgery for benign thyroid nodules: a retrospective cohort study. Sci Rep, 2016, 6: 37838.
36.	刁暢, 程若川. 消融治療在甲狀腺結節治療中的誤區與思考. 醫學與哲學, 2015, 36(10B): 16-21.
37.	王宇, 馬奔. 超聲引導下熱消融技術尚不適用于甲狀腺癌及甲狀腺濾泡性腫瘤治療. 山東大學耳鼻喉眼學報, 2016, 30(2): 20-22.
38.	Na DG, Lee JH, Jung SL, et al. Radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: consensus statement and recommendations. Korean J Radiol, 2012, 13(2): 117-125.
39.	中國抗癌協會甲狀腺癌專業委員會(CATO). 甲狀腺微小乳頭狀癌診斷與治療中國專家共識(2016版). 中國腫瘤臨床, 2016, 43(10): 405-411.

1. Dideban S, Abdollahi A, Meysamie A, et al. Thyroid papillary microcarcinoma: etiology, clinical manifestations, diagnosis, follow-up, histopathology and prognosis. Iran J Pathol, 2016, 11(1): 1-19.
2. 詹維偉, 江珊. 甲狀腺微小乳頭狀癌的診治現狀. 中華醫學超聲雜志(電子版), 2014, 11(5): 361-365.
3. Vasileiadis I, Karatzas T, Vasileiadis D, et al. Clinical and pathological characteristics of incidental and nonincidental papillary thyroid microcarcinoma in 339 patients. Head Neck, 2014, 36(4): 564-570.
4. 劉池拽, 鄧建偉, 師天雄. 射頻消融技術在甲狀腺疾病中的臨床進展. 中華普通外科學文獻(電子版), 2015, 9(3): 238-241.
5. 李晨, 殷晶晶, 王加林. 甲狀腺結節微創治療現狀. 山東醫藥, 2016, 56(26): 111-113.
6. 黃真輝, 聶生東. 經皮激光消融技術應用研究進展. 生物醫學工程學進展, 2014, 35(4): 228-232.
7. Aysan E, Idiz UO, Akbulut H, et al. Single-session radiofrequency ablation on benign thyroid nodules: a prospective single center study: Radiofrequency ablation on thyroid. Langenbecks Arch Surg, 2016, 401(3): 357-363.
8. Zhao Q, Tian G, Kong D, et al. Meta-analysis of radiofrequency ablation for treating the local recurrence of thyroid cancers. J Endocrinol Invest, 2016, 39(8): 909-916.
9. 盧峰, 徐輝雄, 郭樂杭, 等. 液體隔離帶在超聲引導穿刺頸部高風險病灶中的應用. 中華醫學超聲雜志(電子版), 2014, 11(12): 1006-1009.
10. 石彥, 李銳, 郝迎學, 等. 激光消融治療 48 例甲狀腺良性結節臨床分析. 第三軍醫大學學報, 2016, 38(13): 1542-1546.
11. Baek JH, Lee JH, Valcavi R, et al. Thermal ablation for benign thyroid nodules: radiofrequency and laser. Korean J Radiol, 2011, 12(5): 525-540.
12. Pacini F, Castagna MG, Brilli L, et al. Thyroid cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol, 2012, 23 Suppl 7: vii110-vii119.
13. Perros P, Boelaert K, Colley S, et al. Guidelines for the management of thyroid cancer. Clin Endocrinol (Oxf), 2014, 81 Suppl 1: 1-122.
14. Miyauchi A. Clinical trials of active surveillance of papillary microcarcinoma of the thyroid. World J Surg, 2016, 40(3): 516-522.
15. Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid, 2016, 26(1): 1-133.
16. Wang TS, Goffredo P, Sosa JA, et al. Papillary thyroid microcarcinoma: an over-treated malignancy ?: Reply. World J Surg, 2016, 40(3): 766-777.
17. Valcavi R, Piana S, Bortolan GS, et al. Ultrasound-guided percutaneous laser ablation of papillary thyroid microcarcinoma: a feasibility study on three cases with pathological and immunohistochemical evaluation. Thyroid, 2013, 23(12): 1578-1582.
18. Papini E, Guglielmi R, Gharib H, et al. Ultrasound-guided laser ablation of incidental papillary thyroid microcarcinoma: a potential therapeutic approach in patients at surgical risk. Thyroid, 2011, 21(8): 917-920.
19. Heck K, Happel C, Grünwald F, et al. Percutaneous microwave ablation of thyroid nodules: effects on thyroid function and antibodies. Int J Hyperthermia, 2015, 31(5): 560-567.
20. 郭樂杭, 徐輝雄. 超聲引導激光消融治療甲狀腺結節的進展. 中華醫學超聲雜志(電子版), 2013, 10(5): 360-363.
21. Baek JH, Lee JH, Sung JY, et al. Complications encountered in the treatment of benign thyroid nodules with US-guided radiofrequency ablation: a multicenter study. Radiology, 2012, 262(1): 335-342.
22. Ha EJ, Baek JH, Lee JH. The efficacy and complications of radiofrequency ablation of thyroid nodules. Curr Opin Endocrinol Diabetes Obes, 2011, 18(5): 310-314.
23. Barczyński M, Konturek A, Stopa M, et al. Clinical value of intraoperative neuromonitoring of the recurrent laryngeal nerves in improving outcomes of surgery for well-differentiated thyroid cancer. Pol Przegl Chir, 2011, 83(4): 196-203.
24. Kim YS, Rhim H, Tae K, et al. Radiofrequency ablation of benign cold thyroid nodules: initial clinical experience. Thyroid, 2006, 16(4): 361-367.
25. 婁雪峰, 吳鳳林, 紀莉, 等. 射頻消融高風險甲狀腺結節避免喉返神經損傷的方法探討. 中國超聲醫學雜志, 2014, 30(7): 577-580.
26. Korkusuz H, Happel C, Heck K, et al. Percutaneous thermal microwave ablation of thyroid nodules. Preparation, feasibility, efficiency. Nuklearmedizin, 2014, 53(4): 123-130.
27. 隋洋, 吳鳳林, 孫醫學. 超聲引導下射頻消融甲狀腺結節的并發癥與預防方法探討. 醫學影像學雜志, 2014, 24(1): 32-35.
28. 朱精強, 馬宇, 劉楓. 甲狀腺結節消融治療的現狀及展望. 中國普外基礎與臨床雜志, 2015, 22(7): 775-778.
29. 郝少龍, 馬紀紅, 姜立新, 等. 熱消融術在甲狀腺結節微創治療中的應用進展. 中華普通外科學文獻(電子版), 2016, 10(1): 77-80.
30. 甲狀腺腫瘤專業委員會, 浙江省抗癌協會. 甲狀腺良性結節、微小癌及頸部轉移性淋巴結熱消融治療浙江省專家共識(2015版). 中國普通外科雜志, 2016, 25(7): 944-946.
31. 中華醫學會內分泌學分會, 中華醫學會外科學分會, 中國抗癌協會頭頸腫瘤專業委員會, 中華醫學會核醫學分會. 甲狀腺結節和分化型甲狀腺癌診治指南. 中國腫瘤臨床, 2012, 39(17): 1249-1272.
32. Siddiqui S, White MG, Antic T, et al. Clinical and pathologic predictors of lymph node metastasis and recurrence in papillary thyroid microcarcinoma. Thyroid, 2016, 26(6): 807-815.
33. 章建全. 經皮熱消融治療在甲狀腺乳頭狀癌及其區域淋巴結轉移中的應用前景. 中華醫學超聲雜志(電子版), 2014, 11(8): 606-609.
34. 高明, 葛明華, 嵇慶海, 等. 甲狀腺微小乳頭狀癌診斷與治療中國專家共識(2016版). 中國腫瘤臨床, 2016, 43(10): 405-411.
35. Yue WW, Li XL, Xu HX, et al. Quality of life and cost-effectiveness of radiofrequency ablation versus open surgery for benign thyroid nodules: a retrospective cohort study. Sci Rep, 2016, 6: 37838.
36. 刁暢, 程若川. 消融治療在甲狀腺結節治療中的誤區與思考. 醫學與哲學, 2015, 36(10B): 16-21.
37. 王宇, 馬奔. 超聲引導下熱消融技術尚不適用于甲狀腺癌及甲狀腺濾泡性腫瘤治療. 山東大學耳鼻喉眼學報, 2016, 30(2): 20-22.
38. Na DG, Lee JH, Jung SL, et al. Radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: consensus statement and recommendations. Korean J Radiol, 2012, 13(2): 117-125.
39. 中國抗癌協會甲狀腺癌專業委員會(CATO). 甲狀腺微小乳頭狀癌診斷與治療中國專家共識(2016版). 中國腫瘤臨床, 2016, 43(10): 405-411.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The advances of ultrasound-guided thermal ablation for the treatment of papillary thyroid microcarcinoma

Abstract Full text Figures/Tables Video References Cited by

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