Related Experiment Video
Updated: Aug 15, 2025
04:01
Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
855
Thermal ablation for cervical lymph node metastasis from papillary thyroid carcinoma: A meta-analysis
Yun Zhu1, Yueai Wang1, Fang Liu1
1Department of Ultrasound, The First Hospital of Hunan University of Chinese Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410021, People's Republic of China.
Medicine
|January 3, 2023
Summary
Thermal ablation effectively treats cervical lymph node metastasis in papillary thyroid carcinoma (PTC). This minimally invasive method offers a safe alternative to surgery, with a high complete disappearance rate and minimal complications.
Area of Science:
- Oncology
- Minimally Invasive Surgery
Background:
- Papillary thyroid carcinoma (PTC) often involves cervical lymph node metastasis.
- Surgery is the traditional treatment, but thermal ablation is increasingly recommended.
- This study evaluates thermal ablation's efficacy and safety for PTC lymph node metastasis.
Approach:
- A systematic literature search was conducted across major databases (PubMed, Embase, Web of Science, CNKI) until March 2022.
- Studies focusing on thermal ablation techniques (radiofrequency, microwave, laser) for PTC cervical lymph node metastasis were included.
- Data from 190 patients across multiple studies were analyzed.
Key Points:
- Thermal ablation significantly reduced the size and volume of metastatic lymph nodes in PTC patients.
- A pooled complete disappearance rate of 86% was observed.
- Post-treatment thyroglobulin levels decreased significantly, with a low voice change complication rate of 1%.
Conclusions:
- Thermal ablation is a safe and effective treatment for cervical lymph node metastases in papillary thyroid carcinoma.
- The findings support thermal ablation as a viable alternative to traditional surgery.
- Further prospective, multicenter, large-sample studies are recommended to confirm these results.
