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lesions (1, ØØØO). Thermal Treatment: Currently Available Techniques Among the currently available TA techniques for benign thyroid nodules, laser thermal ablation (LTA), radiofrequency ablation (RFA), microwave ablation (MWA), and high
Division of Interventional Radiology, European Institute of Oncology, IRCCS, Milan, Italy
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Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
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may occur, resulting in severe pain and requiring the immediate cessation of injection [ 19 - 21 ]. Thermal Ablation Laser Ablation Laser is a focused beam of light energy, usually generated by a diode or a Nd:YAG source and delivered
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with a 4.0-cm spongiform nodule and compressive symptoms, ∼46% each would choose surgery or laser/radiofrequency ablation, while <4% would choose US monitoring. Discussion This is the first survey developed after publication of the 2015 ATA
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Biomedical Sciences, Università della Svizzera Italiana (USI), Lugano, Switzerland
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-of-the-art in TA, clearly define the standard technical procedures, and the indications for which such techniques should be routinely used. TA, foremost represented by laser and radiofrequency ablation, are minimally invasive techniques predominantly used to
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persistence of benign as well as malignant thyroid disease [ 2 , 4 - 6 ]. Minimally invasive techniques (MIT), such as ethanol ablation (EA) and thermal ablation (TA) such as laser ablation (LA) or radiofrequency ablation (RFA), have been successfully used to
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. 10.1210/jc.2018-02808 30860579 0021-972X 11 Papini E , Rago T , Gambelunghe G , Valcavi R , Bizzarri G , Vitti P , et al. Long-term efficacy of ultrasound-guided laser ablation for benign solid thyroid nodules. Results of a
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nodules (81.81%). Discussion RFA was demonstrated to be an effective and safe alternative to surgery and is recommended in the European guidelines as the first-line TA treatment modalities along with laser ablation ( 7 ). In comparative
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injection or, in perspective, new techniques such as interstitial laser photocoagulation or radiofrequency ablation. No guideline can give a robust indication in favor of one or the other option. Radioiodine therapy has been the preferred choice in past
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trial. J Clin Endocrinol Metab 2013;98:E1213-E1217. 10.1210/jc.2013-1503 23780378 68 Valcavi R, Piana S, Steconi Bortolan G, Lai R, Barbieri V, Negro R: Ultrasound-guided percutaneous laser ablation of papillary thyroid microcarcinoma: a
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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S Giudici F Cesareo R Antonelli G Cavallaro M Deandrea M Giusti M Mormile A Negro R Palermo A , et al. Five-year results of radiofrequency and laser ablation of benign thyroid nodules: a multicenter study from the Italian minimally