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甲状腺癌的皮肤穿射频切除不符合外科手术条件,在老年人中
Pierre Yves Marcy1, Marc Tassart1, Jean-Guillaume Marchand1
1PolyClinics ELSAN Group, Medipole Sud, Quartier Quiez, 83189 Ollioules, France.
Current oncology (Toronto, Ont.)
|August 25, 2023
概括
射频除为老年患者的乳头甲状腺微癌 (mPTC) 治疗提供了最少的侵入性替代方案,这些患者无法接受手术. 这种方法显示了比传统手术更少并发症的有效治疗的希望.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 最少侵入性的手术
背景情况:
- 乳头甲状腺微瘤 (mPTC) 占分化甲状腺癌的30-50%.
- 虽然通常在临床上是无声的,预后很好,但标准的手术治疗 (手术切除) 具有神经,甲状腺功能低下和痕等风险.
- 患有并发症的老年患者可能不符合或拒绝接受手术,积极监测存在疾病进展风险.
研究的目的:
- 评估皮成像导向热性除作为mPTC和T2 PTC手术的可行替代方案.
- 介绍两项关于在老年患者中进行射频剥离的案例研究,这些老年患者有mPTC和T2 PTC,但不是外科手术的候选人.
主要方法:
- 采用皮肤成像导向的射频剥离 (RFA).
- 该治疗适用于两名分别被诊断为mPTC和T2 PTC的老年患者,他们无法接受手术干预.
主要成果:
- 射频除在治疗mPTC和T2 PTC方面表现出有效性.
- 与手术相比,微创手术提供了有利的安全性,并发症较少.
- 患者经历了更好的生活质量和化品后的结果.
结论:
- 皮肤透射射频移除是一种安全有效的替代手术选择患者的mPTC和T2PTC,特别是老年人或那些伴随疾病.
- 这种微创手术技术提供了与手术相当的疗效,改善了患者的治疗结果和降低了风险.
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