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Thyroid Head and Neck Ablation Center, Kaohsiung Chang Gung Memorial Hospital, Taiwan
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Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan
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Department of Nuclear Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan
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Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan
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Departments of Surgery, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan
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Thyroid Head and Neck Ablation Center, Kaohsiung Chang Gung Memorial Hospital, Taiwan
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Thyroid Head and Neck Ablation Center, Kaohsiung Chang Gung Memorial Hospital, Taiwan
Department of Radiology, Jen-Ai Hospital, Dali Branch, Taichung, Taiwan
School of Medicine, College of Medicine, National Sun Yat-Sen University, Kaohsiung City, Taiwan
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thyroid AUS/FLUS nodules. Although the potential malignant risks associated with these nodules cannot be entirely ruled out, not all nodules of this nature require surgery, and when compared to active surveillance, RFA has shown therapeutic benefits. RFA
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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with surgery, active surveillance, or local treatment, depending on the size of the nodule ( 3 , 4 , 5 , 6 ). Given the high rate of thyroid nodules, most of which are benign, to reduce fine needle aspiration cytology (FNAC) and unnecessary surgery
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–benefit ratio ( 5 , 6 , 7 ). A more conservative approach results in reduced cost as well as a lower risk of complications ( 8 , 9 ). Implementation of active surveillance and minimally invasive techniques (MITs) has been limited and measured ( 10
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using the VRS01 RFA system (STARmed, Korea) and initiated internal cooling of the 18G electrodes with 10 mm or 7 mm active tips under the guidance of the same US equipment. Local anesthesia, a lateral approach, a moving-shot technique, and a
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M Kim HI Ha J Jeon MJ Kim WG Lim DJ Kim TY Chung JH Shong YK Kim TH Tumor volume doubling time in active surveillance of papillary thyroid microcarcinoma: a multicenter cohort study in Korea . Thyroid 2021 31 1494 – 1501 . ( https