Int J Thyroidol.  2015 Nov;8(2):183-186. 10.11106/ijt.2015.8.2.183.

Efficacy and Safety of Radiofrequency Ablation Performed by an Endocrinologist for Benign Thyroid Nodules

Affiliations
  • 1Department of Endocrinology, Kwangju Christian Hospital, Gwangju, Korea. lorang13@naver.com
  • 2Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.

Abstract

BACKGROUND AND OBJECTIVES
Radiofrequency ablation has recently been used for the treatment of benign thyroid nodules, with outstanding results. However, in most studies, the procedure was usually performed by a radiologist or surgeon. This study aimed to evaluate the efficacy and safety of radiofrequency ablation for nodules >2 cm performed by an endocrinologist with several years of experience performing fine-needle aspiration cytology.
MATERIALS AND METHODS
This study was a cross-sectional analysis of 111 patients who received radiofrequency ablation between April 2010 and July 2013. A total of 73 patients with 75 nodules >2 cm in diameter with at least 6 months of follow-up examinations were included.
RESULTS
The mean follow-up period was 11.5 months. The mean nodule volume decreased from 17.0+/-15.3 mL preoperatively to 6.0+/-8.5 mL postoperatively, with a mean volume reduction of 69.7%. There were no major complications, and only 1 patient (1.3%) presented with a minor complication (hemorrhaging of the thyroid parenchyma).
CONCLUSION
Radiofrequency ablation is a safe method for reducing benign thyroid nodules, and is not associated with any major complications.

Keyword

Radiofrequency ablation; Thyroid; Benign; Nodule; Endocrinologist

MeSH Terms

Biopsy, Fine-Needle
Catheter Ablation*
Cross-Sectional Studies
Follow-Up Studies
Humans
Thyroid Gland*
Thyroid Nodule*

Cited by  1 articles

2017 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Radiology
Ji-hoon Kim, Jung Hwan Baek, Hyun Kyung Lim, Hye Shin Ahn, Seon Mi Baek, Yoon Jung Choi, Young Jun Choi, Sae Rom Chung, Eun Ju Ha, Soo Yeon Hahn, So Lyung Jung, Dae Sik Kim, Soo Jin Kim, Yeo Koon Kim, Chang Yoon Lee, Jeong Hyun Lee, Kwang Hwi Lee, Young Hen Lee, Jeong Seon Park, Hyesun Park, Jung Hee Shin, Chong Hyun Suh, Jin Yong Sung, Jung Suk Sim, Inyoung Youn, Miyoung Choi, Dong Gyu Na,
Korean J Radiol. 2018;19(4):632-655.    doi: 10.3348/kjr.2018.19.4.632.


Reference

References

1. Na DG, Lee JH, Jung SL, Kim JH, Sung JY, Shin JH, et al. Radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: consensus statement and recommendations. Korean J Radiol. 2012; 13(2):117–25.
Article
2. Kim YS, Rhim H, Tae K, Park DW, Kim ST. Radiofrequency ablation of benign cold thyroid nodules: initial clinical experience. Thyroid. 2006; 16(4):361–7.
Article
3. Spiezia S, Garberoglio R, Di Somma C, Deandrea M, Basso E, Limone PP, et al. Efficacy and safety of radiofrequency thermal ablation in the treatment of thyroid nodules with pressure symptoms in elderly patients. J Am Geriatr Soc. 2007; 55(9):1478–9.
Article
4. Baek JH, Jeong HJ, Kim YS, Kwak MS, Lee D. Radio-frequency ablation for an autonomously functioning thyroid nodule. Thyroid. 2008; 18(6):675–6.
Article
5. Deandrea M, Limone P, Basso E, Mormile A, Ragazzoni F, Gamarra E, et al. US-guided percutaneous radiofrequency thermal ablation for the treatment of solid benign hyper-functioning or compressive thyroid nodules. Ultrasound Med Biol. 2008; 34(5):784–91.
Article
6. Jeong WK, Baek JH, Rhim H, Kim YS, Kwak MS, Jeong HJ, et al. Radiofrequency ablation of benign thyroid nodules: safety and imaging follow-up in 236 patients. Eur Radiol. 2008; 18(6):1244–50.
Article
7. Baek JH, Moon WJ, Kim YS, Lee JH, Lee D. Radiofrequency ablation for the treatment of autonomously functioning thyroid nodules. World J Surg. 2009; 33(9):1971–7.
Article
8. Baek JH, Kim YS, Lee D, Huh JY, Lee JH. Benign predominantly solid thyroid nodules: prospective study of efficacy of sonographically guided radiofrequency ablation versus control condition. AJR Am J Roentgenol. 2010; 194(4):1137–42.
Article
9. Jang SW, Baek JH, Kim JK, Sung JY, Choi H, Lim HK, et al. How to manage the patients with unsatisfactory results after ethanol ablation for thyroid nodules: role of radiofre-quency ablation. Eur J Radiol. 2012; 81(5):905–10.
Article
10. Fuller CW, Nguyen SA, Lohia S, Gillespie MB. Radiofrequency ablation for treatment of benign thyroid nodules: systematic review. Laryngoscope. 2014; 124(1):346–53.
Article
11. Sung JY, Kim YS, Choi H, Lee JH, Baek JH. Optimum first-line treatment technique for benign cystic thyroid nodules: ethanol ablation or radiofrequency ablation? AJR Am J Roentgenol. 2011; 196(2):W210–4.
Article
12. Baek JH, Lee JH, Sung JY, Bae JI, Kim KT, Sim J, et al. Complications encountered in the treatment of benign thyroid nodules with US-guided radiofrequency ablation: a multicenter study. Radiology. 2012; 262(1):335–42.
Article
13. Shin JH, Baek JH, Ha EJ, Lee JH. Radiofrequency ablation of thyroid nodules: basic principles and clinical application. Int J Endocrinol. 2012; 2012:919650.
Article
14. Lim HK, Lee JH, Ha EJ, Sung JY, Kim JK, Baek JH. Radiofrequency ablation of benign non-functioning thyroid nodules: 4-year follow-up results for 111 patients. Eur Radiol. 2013; 23(4):1044–9.
Article
15. Kim DW. Sonography-guided ethanol ablation of a remnant solid component after radio-frequency ablation of benign solid thyroid nodules: a preliminary study. AJNR Am J Neuroradiol. 2012; 33(6):1139–43.
Article
Full Text Links
  • IJT
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr