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observation alone in adult patients who have benign TNs that cause pressure symptoms and/or cosmetic concerns and decline surgery. RFA is the most utilized system, but microwave ablation (MWA) is an interesting new option with the potential to overcome some
Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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Department of Medical Biotechnology and Translational Medicine, University of Milan, Milan, Italy
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perform a molecular testing, or a diagnostic lobectomy, or an active surveillance. Few papers have been published reporting the efficacy of thermo- or microwave ablation in this class of nodules, but only small (volume range: 1.9–7.9 mL) and genetically
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. Ultrasound-guided microwave ablation combined with ethanol injection for the treatment of solitary nodular retrosternal goiter: a prospective study of 72 patients . European Radiology 2023 33 752 – 762 . ( https://doi.org/10.1007/s00330-022-09052-3 ) 13
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, which use various energy sources: laser, radiofrequency, microwaves, or high-intensity focused ultrasound ( 17 ). MITs result in a relevant and long-lasting decrease of nodule volume (57–77% at 5 years) that is paralleled by improvement of local symptoms