Ultrasound-Guided Microwave Ablation of Papillary Thyroid Cancer in the Context of Hashimoto Thyroiditis
10.3969/j.issn.1005-5185.2025.06.010
- VernacularTitle:超声引导微波消融治疗桥本甲状腺炎背景下甲状腺乳头状癌
- Author:
Song LI
1
;
Zhenlong ZHAO
1
;
Ying WEI
1
;
Lili PENG
1
;
Yan LI
1
;
Mingan YU
1
Author Information
1. 中日友好医院介入医学科,北京 100029
- Publication Type:Journal Article
- Keywords:
Thyroid cancer,papillary;
Hashimoto disease;
Ultrasonography;
Ablation techniques;
Thyroid antibodies
- From:
Chinese Journal of Medical Imaging
2025;33(6):627-630,632
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To evaluate the safety and efficacy of microwave ablation(MWA)treatment for papillary thyroid cancer(PTC)in patients with Hashimoto thyroiditis(HT).Materials and Methods A retrospective analysis was conducted on clinical data from April 2020 to May 2022,involving 181 patients who underwent MWA at the China-Japan Friendship Hospital.All patients were divided into experimental group(n=89 cases)and control group(n=92 cases).The technical success rate,tumor volume reduction rate(VRR),disease progression and incidence of complications were compared between the two groups,respectively.Results Both groups achieved a technical success rate of 100%,with a median follow-up time of(16.90±11.43)months.At 3,6,12,and 18 months post-ablation,the VRR in the experimental group was significantly lower than that in the control group(3 months:-405.10(-778.57,-119.64)%vs.-190.00(-525.62,0)%;6 months:-50.00(-318.00,45.52)%vs.52.75(-93.33,97.13)%;12 months:83.33(17.70,100.00)%vs.100.00(64.88,100.00)%;18 months:100.00(96.05,100.00)%vs.100.00(100.00,100.00)%,Z=-2.77,-3.70,-2.41,-2.18,all P<0.05).At the end of follow-up,there was no significant difference in the disease progression rates and the incidence of hoarseness between the two groups(5.61%vs.4.34%,2.24%vs.4.34%,both P>0.05).Conclusion Patients with HT who received MWA treatment demonstrate safety and effectiveness,with no significant differences in postoperative disease progression rates compared to the controls.
