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甲状腺小瘤的热侵蚀性治疗

Francesca De Santi¹, Mee Jung Mattarello¹, Roberto Vendraminelli²

¹Endocrinology and Metabolic Diseases Service, Casa di Cura Villa Berica, GHC, Vicenza, Italy.

Endocrine, metabolic & immune disorders drug targets

|July 10, 2024

概括

超声波导向的射频除提供了低风险的乳头甲状腺小癌 (PTC) 的有效,最小侵入性治疗方法. 这种手术证明了显著的瘤减少和重血管化,并发症最小,为手术提供了可行的替代方案.

科学领域:

内分泌学在内分泌学.
在瘤学瘤学.
最少侵入性手术的方法

背景情况:

乳头甲状腺小癌 (PTC<1厘米) 的治疗传统上包括手术或积极监测.
像超声波导向的射频切除这样的局部治疗正在成为非手术候选人的替代方案.

研究的目的:

评估超声波导向的射频热移动对低风险PTC的有效性和安全性.
介绍这种微创手术的临床经验,作为手术或主动监测的替代方案.

主要方法:

确诊患有乳头小癌 (TIR 4b/5) 的患者使用18G主动尖端电极进行了超声波导向的射频热移除.
这项手术是在日间医院环境下,在局部麻醉下,使用移动射击技术进行的.
对比增强超声波 (CEUS) 监测了手术后和随访间隔的治疗区域.

主要成果:

CEUS记录了治疗结节的完整重血管化和渐进的体积缩小.
在射频除过程中或之后没有报告严重并发症.
随访时间从12个月到36个月,所有接受治疗的结节都显示出体积缩小.

结论:

射频除是一种有效的治疗方法,用于消除小乳头甲状腺癌,并发症率低.
这种微创手术技术代表了管理低风险的有效替代方案,惰的乳头甲状腺微癌.
该程序提供了一个安全的选择,即使对于没有手术禁忌的患者.

关键词:

热消耗剂是一种热消耗剂.微型癌症 (microcarcinomas) 是一种小癌症.这是一种乳头乳头状的乳头.甲状腺是什么?甲状腺是什么?血管化的情况.

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