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Radiofrequency ablation for symptomatic, non-functioning thyroid nodules: a single-center retrospective observational
Huiyin Zhu1, Lifen Bai1, Ming Zhou1
1Department of Thyroid and Breast Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Annals of Surgical Treatment and Research
|September 26, 2025
Summary
Radiofrequency ablation (RFA) effectively treats thyroid nodules (TNs), showing significant volume reduction and a high safety profile. Post-treatment nodule size decreased substantially over 12 months.
Area of Science:
- Endocrinology
- Minimally Invasive Surgery
Background:
- Thyroid nodules (TNs) are common, and while often benign, they can cause symptoms requiring treatment.
- Radiofrequency ablation (RFA) offers a minimally invasive therapeutic option for TNs.
Purpose of the Study:
- To evaluate the efficacy and safety of radiofrequency ablation (RFA) for treating thyroid nodules (TNs).
Main Methods:
- Retrospective analysis of patients undergoing RFA for TNs between January 2020 and December 2023.
- Collected preoperative and postoperative data, including thyroid hormone levels.
- Assessed RFA efficacy by measuring volume reduction (VR) and volume reduction rate (VRR) at 1, 3, 6, and 12 months post-procedure.
Main Results:
- Significant increases in volume reduction (VR) and volume reduction rate (VRR) were observed at 12 months post-RFA compared to earlier time points (P < 0.001).
- RFA demonstrated efficacy in altering nodule composition and resulted in a low incidence of postoperative complications.
Conclusions:
- Radiofrequency ablation (RFA) is a safe and effective treatment for thyroid nodules (TNs).
- The study confirms significant and progressive volume reduction of TNs following RFA treatment.
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