Non-surgical, Image-guided Management of Benign Thyroid Nodules.
10.11106/cet.2014.7.2.111
- Author:
Jung Hee SHIN
1
Author Information
1. Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jhshin11@skku.edu
- Publication Type:Review
- Keywords:
Thyroid nodule;
Ultrasonography;
Radiofrequency ablation
- MeSH:
Catheter Ablation;
Cost-Benefit Analysis;
Ethanol;
Follow-Up Studies;
Humans;
Laser Therapy;
Thyroid Nodule*;
Ultrasonography
- From:Journal of Korean Thyroid Association
2014;7(2):111-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Most thyroid nodules are cytologically benign and can be managed nonsurgically. Asymptomatic benign nodules require follow-up without treatment. Cosmetic problems and/or compression-related symptoms may be indications for treatment. Until now in clinical practices, nonsurgical image-guided therapy includes percutaneous ethanol injection, radiofrequency ablation, laser ablation, and high intensity focused ultrasound. Percutaneous ethanol injection should be used as the first-line therapy for recurrent symptomatic cystic nodules. Radiofrequency ablation is an effective procedure for obtaining shrinkage and improving symptoms of solid thyroid nodules. Better understanding of image-guided therapy makes physicians personalize the management of benign thyroid nodules according to a cost-benefit analysis.
