The advances of ultrasound-guided thermal ablation for the treatment of papillary thyroid microcarcinoma_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HAN Xi , ZHANG Guang ,  SUN Hui

Division of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Engineering Laboratory for Thyroid Disease Control, Changchun, Jilin 130033, P. R. China;

Corresponding author：

SUN Hui, Email: sunhui1229@163.com

Keywords：

thyroid microcarcinoma; thermal ablation; ultrasound-guided

DOI：

10.7507/1007-9424.201612010

Video：

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Objective To summarize the progress of the application of ultrasound-guided thermal ablation for treatment of papillary thyroid microcarcinoma (PTMC). Methods The relevant literatures of thyroid nodules treated by ultrasound-guided thermal ablation were reviewed by adopting the methods of literature review. Results In conditions of grasping the therapeutic indication strictly and evaluating preoperative various aspects sufficiently, it reveals a certain feasibility and validity applying ultrasound-guided thermal ablation in the treatment of PTMC classified in the low-risk group. Conclutions Possessing the advantages of minimal invasive techniques, low-risks, beauty and rapidness, ultrasound-guided thermal ablation might be recommended as an alternative to a low-risk PTMC patient who is at high risk in general anaesthesia operation or intolerant to open operation.

Citation： HAN Xi, ZHANG Guang, SUN Hui. The advances of ultrasound-guided thermal ablation for the treatment of papillary thyroid microcarcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(9): 1156-1160. doi: 10.7507/1007-9424.201612010 Copy

1.	Dideban S, Abdollahi A, Meysamie A, et al. Thyroid papillary microcarcinoma: etiology, clinical manifestations, diagnosis, follow-up, histopathology and prognosis. Iran J Pathol, 2016, 11(1): 1-19.
2.	詹维伟, 江珊. 甲状腺微小乳头状癌的诊治现状. 中华医学超声杂志(电子版), 2014, 11(5): 361-365.
3.	Vasileiadis I, Karatzas T, Vasileiadis D, et al. Clinical and pathological characteristics of incidental and nonincidental papillary thyroid microcarcinoma in 339 patients. Head Neck, 2014, 36(4): 564-570.
4.	刘池拽, 邓建伟, 师天雄. 射频消融技术在甲状腺疾病中的临床进展. 中华普通外科学文献(电子版), 2015, 9(3): 238-241.
5.	李晨, 殷晶晶, 王加林. 甲状腺结节微创治疗现状. 山东医药, 2016, 56(26): 111-113.
6.	黄真辉, 聂生东. 经皮激光消融技术应用研究进展. 生物医学工程学进展, 2014, 35(4): 228-232.
7.	Aysan E, Idiz UO, Akbulut H, et al. Single-session radiofrequency ablation on benign thyroid nodules: a prospective single center study: Radiofrequency ablation on thyroid. Langenbecks Arch Surg, 2016, 401(3): 357-363.
8.	Zhao Q, Tian G, Kong D, et al. Meta-analysis of radiofrequency ablation for treating the local recurrence of thyroid cancers. J Endocrinol Invest, 2016, 39(8): 909-916.
9.	卢峰, 徐辉雄, 郭乐杭, 等. 液体隔离带在超声引导穿刺颈部高风险病灶中的应用. 中华医学超声杂志(电子版), 2014, 11(12): 1006-1009.
10.	石彦, 李锐, 郝迎学, 等. 激光消融治疗 48 例甲状腺良性结节临床分析. 第三军医大学学报, 2016, 38(13): 1542-1546.
11.	Baek JH, Lee JH, Valcavi R, et al. Thermal ablation for benign thyroid nodules: radiofrequency and laser. Korean J Radiol, 2011, 12(5): 525-540.
12.	Pacini F, Castagna MG, Brilli L, et al. Thyroid cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol, 2012, 23 Suppl 7: vii110-vii119.
13.	Perros P, Boelaert K, Colley S, et al. Guidelines for the management of thyroid cancer. Clin Endocrinol (Oxf), 2014, 81 Suppl 1: 1-122.
14.	Miyauchi A. Clinical trials of active surveillance of papillary microcarcinoma of the thyroid. World J Surg, 2016, 40(3): 516-522.
15.	Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid, 2016, 26(1): 1-133.
16.	Wang TS, Goffredo P, Sosa JA, et al. Papillary thyroid microcarcinoma: an over-treated malignancy ?: Reply. World J Surg, 2016, 40(3): 766-777.
17.	Valcavi R, Piana S, Bortolan GS, et al. Ultrasound-guided percutaneous laser ablation of papillary thyroid microcarcinoma: a feasibility study on three cases with pathological and immunohistochemical evaluation. Thyroid, 2013, 23(12): 1578-1582.
18.	Papini E, Guglielmi R, Gharib H, et al. Ultrasound-guided laser ablation of incidental papillary thyroid microcarcinoma: a potential therapeutic approach in patients at surgical risk. Thyroid, 2011, 21(8): 917-920.
19.	Heck K, Happel C, Grünwald F, et al. Percutaneous microwave ablation of thyroid nodules: effects on thyroid function and antibodies. Int J Hyperthermia, 2015, 31(5): 560-567.
20.	郭乐杭, 徐辉雄. 超声引导激光消融治疗甲状腺结节的进展. 中华医学超声杂志(电子版), 2013, 10(5): 360-363.
21.	Baek JH, Lee JH, Sung JY, et al. Complications encountered in the treatment of benign thyroid nodules with US-guided radiofrequency ablation: a multicenter study. Radiology, 2012, 262(1): 335-342.
22.	Ha EJ, Baek JH, Lee JH. The efficacy and complications of radiofrequency ablation of thyroid nodules. Curr Opin Endocrinol Diabetes Obes, 2011, 18(5): 310-314.
23.	Barczyński M, Konturek A, Stopa M, et al. Clinical value of intraoperative neuromonitoring of the recurrent laryngeal nerves in improving outcomes of surgery for well-differentiated thyroid cancer. Pol Przegl Chir, 2011, 83(4): 196-203.
24.	Kim YS, Rhim H, Tae K, et al. Radiofrequency ablation of benign cold thyroid nodules: initial clinical experience. Thyroid, 2006, 16(4): 361-367.
25.	娄雪峰, 吴凤林, 纪莉, 等. 射频消融高风险甲状腺结节避免喉返神经损伤的方法探讨. 中国超声医学杂志, 2014, 30(7): 577-580.
26.	Korkusuz H, Happel C, Heck K, et al. Percutaneous thermal microwave ablation of thyroid nodules. Preparation, feasibility, efficiency. Nuklearmedizin, 2014, 53(4): 123-130.
27.	隋洋, 吴凤林, 孙医学. 超声引导下射频消融甲状腺结节的并发症与预防方法探讨. 医学影像学杂志, 2014, 24(1): 32-35.
28.	朱精强, 马宇, 刘枫. 甲状腺结节消融治疗的现状及展望. 中国普外基础与临床杂志, 2015, 22(7): 775-778.
29.	郝少龙, 马纪红, 姜立新, 等. 热消融术在甲状腺结节微创治疗中的应用进展. 中华普通外科学文献(电子版), 2016, 10(1): 77-80.
30.	甲状腺肿瘤专业委员会, 浙江省抗癌协会. 甲状腺良性结节、微小癌及颈部转移性淋巴结热消融治疗浙江省专家共识(2015版). 中国普通外科杂志, 2016, 25(7): 944-946.
31.	中华医学会内分泌学分会, 中华医学会外科学分会, 中国抗癌协会头颈肿瘤专业委员会, 中华医学会核医学分会. 甲状腺结节和分化型甲状腺癌诊治指南. 中国肿瘤临床, 2012, 39(17): 1249-1272.
32.	Siddiqui S, White MG, Antic T, et al. Clinical and pathologic predictors of lymph node metastasis and recurrence in papillary thyroid microcarcinoma. Thyroid, 2016, 26(6): 807-815.
33.	章建全. 经皮热消融治疗在甲状腺乳头状癌及其区域淋巴结转移中的应用前景. 中华医学超声杂志(电子版), 2014, 11(8): 606-609.
34.	高明, 葛明华, 嵇庆海, 等. 甲状腺微小乳头状癌诊断与治疗中国专家共识(2016版). 中国肿瘤临床, 2016, 43(10): 405-411.
35.	Yue WW, Li XL, Xu HX, et al. Quality of life and cost-effectiveness of radiofrequency ablation versus open surgery for benign thyroid nodules: a retrospective cohort study. Sci Rep, 2016, 6: 37838.
36.	刁畅, 程若川. 消融治疗在甲状腺结节治疗中的误区与思考. 医学与哲学, 2015, 36(10B): 16-21.
37.	王宇, 马奔. 超声引导下热消融技术尚不适用于甲状腺癌及甲状腺滤泡性肿瘤治疗. 山东大学耳鼻喉眼学报, 2016, 30(2): 20-22.
38.	Na DG, Lee JH, Jung SL, et al. Radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: consensus statement and recommendations. Korean J Radiol, 2012, 13(2): 117-125.
39.	中国抗癌协会甲状腺癌专业委员会(CATO). 甲状腺微小乳头状癌诊断与治疗中国专家共识(2016版). 中国肿瘤临床, 2016, 43(10): 405-411.

1. Dideban S, Abdollahi A, Meysamie A, et al. Thyroid papillary microcarcinoma: etiology, clinical manifestations, diagnosis, follow-up, histopathology and prognosis. Iran J Pathol, 2016, 11(1): 1-19.
2. 詹维伟, 江珊. 甲状腺微小乳头状癌的诊治现状. 中华医学超声杂志(电子版), 2014, 11(5): 361-365.
3. Vasileiadis I, Karatzas T, Vasileiadis D, et al. Clinical and pathological characteristics of incidental and nonincidental papillary thyroid microcarcinoma in 339 patients. Head Neck, 2014, 36(4): 564-570.
4. 刘池拽, 邓建伟, 师天雄. 射频消融技术在甲状腺疾病中的临床进展. 中华普通外科学文献(电子版), 2015, 9(3): 238-241.
5. 李晨, 殷晶晶, 王加林. 甲状腺结节微创治疗现状. 山东医药, 2016, 56(26): 111-113.
6. 黄真辉, 聂生东. 经皮激光消融技术应用研究进展. 生物医学工程学进展, 2014, 35(4): 228-232.
7. Aysan E, Idiz UO, Akbulut H, et al. Single-session radiofrequency ablation on benign thyroid nodules: a prospective single center study: Radiofrequency ablation on thyroid. Langenbecks Arch Surg, 2016, 401(3): 357-363.
8. Zhao Q, Tian G, Kong D, et al. Meta-analysis of radiofrequency ablation for treating the local recurrence of thyroid cancers. J Endocrinol Invest, 2016, 39(8): 909-916.
9. 卢峰, 徐辉雄, 郭乐杭, 等. 液体隔离带在超声引导穿刺颈部高风险病灶中的应用. 中华医学超声杂志(电子版), 2014, 11(12): 1006-1009.
10. 石彦, 李锐, 郝迎学, 等. 激光消融治疗 48 例甲状腺良性结节临床分析. 第三军医大学学报, 2016, 38(13): 1542-1546.
11. Baek JH, Lee JH, Valcavi R, et al. Thermal ablation for benign thyroid nodules: radiofrequency and laser. Korean J Radiol, 2011, 12(5): 525-540.
12. Pacini F, Castagna MG, Brilli L, et al. Thyroid cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol, 2012, 23 Suppl 7: vii110-vii119.
13. Perros P, Boelaert K, Colley S, et al. Guidelines for the management of thyroid cancer. Clin Endocrinol (Oxf), 2014, 81 Suppl 1: 1-122.
14. Miyauchi A. Clinical trials of active surveillance of papillary microcarcinoma of the thyroid. World J Surg, 2016, 40(3): 516-522.
15. Haugen BR, Alexander EK, Bible KC, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid, 2016, 26(1): 1-133.
16. Wang TS, Goffredo P, Sosa JA, et al. Papillary thyroid microcarcinoma: an over-treated malignancy ?: Reply. World J Surg, 2016, 40(3): 766-777.
17. Valcavi R, Piana S, Bortolan GS, et al. Ultrasound-guided percutaneous laser ablation of papillary thyroid microcarcinoma: a feasibility study on three cases with pathological and immunohistochemical evaluation. Thyroid, 2013, 23(12): 1578-1582.
18. Papini E, Guglielmi R, Gharib H, et al. Ultrasound-guided laser ablation of incidental papillary thyroid microcarcinoma: a potential therapeutic approach in patients at surgical risk. Thyroid, 2011, 21(8): 917-920.
19. Heck K, Happel C, Grünwald F, et al. Percutaneous microwave ablation of thyroid nodules: effects on thyroid function and antibodies. Int J Hyperthermia, 2015, 31(5): 560-567.
20. 郭乐杭, 徐辉雄. 超声引导激光消融治疗甲状腺结节的进展. 中华医学超声杂志(电子版), 2013, 10(5): 360-363.
21. Baek JH, Lee JH, Sung JY, et al. Complications encountered in the treatment of benign thyroid nodules with US-guided radiofrequency ablation: a multicenter study. Radiology, 2012, 262(1): 335-342.
22. Ha EJ, Baek JH, Lee JH. The efficacy and complications of radiofrequency ablation of thyroid nodules. Curr Opin Endocrinol Diabetes Obes, 2011, 18(5): 310-314.
23. Barczyński M, Konturek A, Stopa M, et al. Clinical value of intraoperative neuromonitoring of the recurrent laryngeal nerves in improving outcomes of surgery for well-differentiated thyroid cancer. Pol Przegl Chir, 2011, 83(4): 196-203.
24. Kim YS, Rhim H, Tae K, et al. Radiofrequency ablation of benign cold thyroid nodules: initial clinical experience. Thyroid, 2006, 16(4): 361-367.
25. 娄雪峰, 吴凤林, 纪莉, 等. 射频消融高风险甲状腺结节避免喉返神经损伤的方法探讨. 中国超声医学杂志, 2014, 30(7): 577-580.
26. Korkusuz H, Happel C, Heck K, et al. Percutaneous thermal microwave ablation of thyroid nodules. Preparation, feasibility, efficiency. Nuklearmedizin, 2014, 53(4): 123-130.
27. 隋洋, 吴凤林, 孙医学. 超声引导下射频消融甲状腺结节的并发症与预防方法探讨. 医学影像学杂志, 2014, 24(1): 32-35.
28. 朱精强, 马宇, 刘枫. 甲状腺结节消融治疗的现状及展望. 中国普外基础与临床杂志, 2015, 22(7): 775-778.
29. 郝少龙, 马纪红, 姜立新, 等. 热消融术在甲状腺结节微创治疗中的应用进展. 中华普通外科学文献(电子版), 2016, 10(1): 77-80.
30. 甲状腺肿瘤专业委员会, 浙江省抗癌协会. 甲状腺良性结节、微小癌及颈部转移性淋巴结热消融治疗浙江省专家共识(2015版). 中国普通外科杂志, 2016, 25(7): 944-946.
31. 中华医学会内分泌学分会, 中华医学会外科学分会, 中国抗癌协会头颈肿瘤专业委员会, 中华医学会核医学分会. 甲状腺结节和分化型甲状腺癌诊治指南. 中国肿瘤临床, 2012, 39(17): 1249-1272.
32. Siddiqui S, White MG, Antic T, et al. Clinical and pathologic predictors of lymph node metastasis and recurrence in papillary thyroid microcarcinoma. Thyroid, 2016, 26(6): 807-815.
33. 章建全. 经皮热消融治疗在甲状腺乳头状癌及其区域淋巴结转移中的应用前景. 中华医学超声杂志(电子版), 2014, 11(8): 606-609.
34. 高明, 葛明华, 嵇庆海, 等. 甲状腺微小乳头状癌诊断与治疗中国专家共识(2016版). 中国肿瘤临床, 2016, 43(10): 405-411.
35. Yue WW, Li XL, Xu HX, et al. Quality of life and cost-effectiveness of radiofrequency ablation versus open surgery for benign thyroid nodules: a retrospective cohort study. Sci Rep, 2016, 6: 37838.
36. 刁畅, 程若川. 消融治疗在甲状腺结节治疗中的误区与思考. 医学与哲学, 2015, 36(10B): 16-21.
37. 王宇, 马奔. 超声引导下热消融技术尚不适用于甲状腺癌及甲状腺滤泡性肿瘤治疗. 山东大学耳鼻喉眼学报, 2016, 30(2): 20-22.
38. Na DG, Lee JH, Jung SL, et al. Radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: consensus statement and recommendations. Korean J Radiol, 2012, 13(2): 117-125.
39. 中国抗癌协会甲状腺癌专业委员会(CATO). 甲状腺微小乳头状癌诊断与治疗中国专家共识(2016版). 中国肿瘤临床, 2016, 43(10): 405-411.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The advances of ultrasound-guided thermal ablation for the treatment of papillary thyroid microcarcinoma

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