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Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:

2023 19

Page:

3583-3587

Research Field:

Publishing date:

Info

Title:

Surgery after ultrasound-guided radiofrequency ablation for thyroid tumors£ºA retrospective study

Author(s):

ZHANG Yi¹; LI Siyu²; DING Yalei¹; FU Lijun¹; LI Jianhua¹; QIU Xinguang¹

1.Department of Thyroid Surgery;2.Department of Physical Examination,the First Affiliated Hospital of Zhengzhou University,Henan Zhengzhou 450000,China.

Keywords:

radiofrequency ablation; thyroid tumors; papillary thyroid carcinoma; reoperation

PACS:

R736.1

DOI:

10.3969/j.issn.1672-4992.2023.19.009

Abstract:

Objective:To analyze the causes and clinical characteristics of surgery after radiofrequency ablation(RFA)for thyroid tumors,exploring methods and precautions for reducing reoperation.Methods:Clinical data of 17 patients with 26 thyroid nodule from Apr.2019 to Oct.2022 in our hospital were retrospectively collected and analyzed.Results:A total of 17 patients with 26 nodules were treated with surgery after RFA,including 12 benign thyroid nodules(BTN group) and 5 papillary thyroid cancer(PTC group).In BTN group,all patients received surgery due to the regrowth of nodules.The preoperative maximum diameter was significantly larger than that before RFA.According to postoperative pathology,there were 2 follicular carcinoma,1 follicular tumor,and 1 PTC.The maximum diameter of the nodules in PTC group had no difference from that before operation.For 3 of 5 PTC,the tumors were not completely inactivated,and 2 of 5cases had central lymph node metastasis.Two cases(No.10,16) developed temporary hypoparathyroidism after surgery.There are no other complications besides this.Conclusion:The indications of RFA in the treatment of thyroid tumors should be strictly controlled.Follicular tumors should be cared when benign tumor regrowth after RFA.RFA for PTC primary lesions may be incomplete and leave residual lymph node metastasis.

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Last Update: 2023-08-31