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갑상선 고주파 절제술을 위한 임상진료

Radiofrequency ablation (RFA) is a non-surgical treatment for symptomatic, benign thyroid nodules. This treatment works by heating and destroying the nodule tissue, which results in reduction of its size and alleviation of the symptoms involved. RFA is indicated for nodules which are confirmed to be...

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Detalles Bibliográficos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585077/
https://www.ncbi.nlm.nih.gov/pubmed/37869113
http://dx.doi.org/10.3348/jksr.2023.0088
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description Radiofrequency ablation (RFA) is a non-surgical treatment for symptomatic, benign thyroid nodules. This treatment works by heating and destroying the nodule tissue, which results in reduction of its size and alleviation of the symptoms involved. RFA is indicated for nodules which are confirmed to be benign on two or more cytological or histological examinations, and which result in clinical symptoms requiring medical treatment. It is associated with good short-term outcomes on one-year follow-up; however, 20%–30% of the nodules regrow after more than three years. Therefore, on the basis of long-term follow-up, management of regrowth is key to patient care following RFA. Regrowth is more likely to occur in nodules that are large in size prior to RFA, and in those with high or increased vascularity. Recently, new techniques such as hydrodissection, artery-first ablation, and venous ablation have been introduced to inhibit regrowth. In addition, appropriate criteria for additional RFA should be applied to manage regrowth and prolong its therapeutic effects. RFA is essentially an alternative to surgery; therefore, the ultimate goal of this procedure is to avoid surgery permanently, rather than to achieve temporary effects.
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spelling pubmed-105850772023-10-20 갑상선 고주파 절제술을 위한 임상진료 J Korean Soc Radiol Clinical Application of Thyroid Radiofrequency Ablation: Present and Future Radiofrequency ablation (RFA) is a non-surgical treatment for symptomatic, benign thyroid nodules. This treatment works by heating and destroying the nodule tissue, which results in reduction of its size and alleviation of the symptoms involved. RFA is indicated for nodules which are confirmed to be benign on two or more cytological or histological examinations, and which result in clinical symptoms requiring medical treatment. It is associated with good short-term outcomes on one-year follow-up; however, 20%–30% of the nodules regrow after more than three years. Therefore, on the basis of long-term follow-up, management of regrowth is key to patient care following RFA. Regrowth is more likely to occur in nodules that are large in size prior to RFA, and in those with high or increased vascularity. Recently, new techniques such as hydrodissection, artery-first ablation, and venous ablation have been introduced to inhibit regrowth. In addition, appropriate criteria for additional RFA should be applied to manage regrowth and prolong its therapeutic effects. RFA is essentially an alternative to surgery; therefore, the ultimate goal of this procedure is to avoid surgery permanently, rather than to achieve temporary effects. The Korean Society of Radiology 2023-09 2023-09-22 /pmc/articles/PMC10585077/ /pubmed/37869113 http://dx.doi.org/10.3348/jksr.2023.0088 Text en Copyrights © 2023 The Korean Society of Radiology https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Application of Thyroid Radiofrequency Ablation: Present and Future
갑상선 고주파 절제술을 위한 임상진료
title 갑상선 고주파 절제술을 위한 임상진료
title_full 갑상선 고주파 절제술을 위한 임상진료
title_fullStr 갑상선 고주파 절제술을 위한 임상진료
title_full_unstemmed 갑상선 고주파 절제술을 위한 임상진료
title_short 갑상선 고주파 절제술을 위한 임상진료
title_sort 갑상선 고주파 절제술을 위한 임상진료
topic Clinical Application of Thyroid Radiofrequency Ablation: Present and Future
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585077/
https://www.ncbi.nlm.nih.gov/pubmed/37869113
http://dx.doi.org/10.3348/jksr.2023.0088
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