Abstract | PURPOSE OF REVIEW: Percutaneous image-guided procedures, largely based on thermal ablation, are at present under investigation for achieving a nonsurgical targeted cytoreduction in benign and malignant thyroid lesions. RECENT FINDINGS: SUMMARY:
Laser ablation therapy is indicated for the shrinkage of benign cold nodules in patients with local pressure symptoms who are at high surgical risk. The treatment should be performed only by well trained operators and after a careful cytological evaluation. Laser ablation does not seem to be consistently effective in the long-term control of hyperfunctioning thyroid nodules and is not an alternative treatment to 131I therapy. Laser ablation may be considered for the cytoreduction of tumor tissue prior to external radiation therapy or chemotherapy of local or distant recurrences of thyroid malignancy that are not amenable to surgical or radioiodine treatment.
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Authors | Enrico Papini, Giancarlo Bizzarri, Claudio M Pacella |
Journal | Current opinion in endocrinology, diabetes, and obesity
(Curr Opin Endocrinol Diabetes Obes)
Vol. 15
Issue 5
Pg. 434-9
(Oct 2008)
ISSN: 1752-2978 [Electronic] England |
PMID | 18769216
(Publication Type: Journal Article, Review)
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Topics |
- Humans
- Laser Therapy
(methods)
- Magnetic Resonance Imaging
- Thyroid Gland
(diagnostic imaging)
- Thyroid Neoplasms
(diagnostic imaging, pathology, surgery)
- Thyroid Nodule
(diagnostic imaging, surgery)
- Ultrasonography
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