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Thyroid ablation

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https://www.readbyqxmd.com/read/29770309/interventional-radiology-of-the-thyroid-gland-critical-review-and-state-of-the-art
#1
REVIEW
Antonio Barile, Simone Quarchioni, Federico Bruno, Anna Maria Ierardi, Francesco Arrigoni, Aldo Victor Giordano, Sergio Carducci, Marco Varrassi, Giampaolo Carrafiello, Ferdinando Caranci, Alessandra Splendiani, Ernesto Di Cesare, Carlo Masciocchi
Thyroid nodules are a common incidental finding during a routinely ultrasound (US) exam unrelated to the thyroid gland in the healthy adult population with a prevalence of 20-76%. As treated before with surgery, in the last years new minimally invasive techniques have been developed as an alternative to surgery. The aim of this review, based on newly revised guidelines, is to provide some information regarding the basic principles, indications, materials, techniques, and results of mini-invasive procedures or treatments for thyroid nodules...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770307/which-needle-in-the-treatment-of-thyroid-nodules
#2
REVIEW
Lorenzo Carlo Pescatori, Pierluca Torcia, Luca Nicosia, Giovanni Mauri, Umberto Geremia Rossi, Maurizio Cariati
Thyroid nodules are a common finding in general population, with a prevalence of 20% to 70% at ultrasound (US) examination. Many of them are benign but treatment can be necessary to relief compressive symptoms. In the last years, percutaneous ablations have achieved amazing development in the treatment of thyroid nodules as they provide a minimally invasive but effective approach. We aimed to summarize the main aspects related to treatment of thyroid nodules with radiofrequency ablation (RFA), focusing on the use of different types of needles...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29770303/cooled-tip-radiofrequency-ablation-of-benign-thyroid-nodules-preliminary-experience-with-two-different-devices
#3
Francesco Morelli, Anna Maria Ierardi, Giovanni Pompili, Andrea Sacrini, Pierpaolo Biondetti, Salvatore Alessio Angileri, Giovanni Montesano, Mario Petrillo, Roberta Giacchero, Gianlorenzo Dionigi, Gianpaolo Carrafiello
Background: Thyroid nodules are very common in general population. Even if benign, they may require a treatment in case of symptoms or cosmetic concerns. In the last years, minimally invasive treatments alternative to surgery have been developed, in particular ultrasound (US) guided radiofrequency ablation (RFA). Methods: Twenty-four patients (9 males; 15 females; mean age 57.9 years) were treated and divided in two groups (A and B) according to the RFA needle used (18 gauge needle, AMICA; 17 gauge needle, COVIDIEN)...
April 2018: Gland Surgery
https://www.readbyqxmd.com/read/29766683/star-shaped-intense-uptake-of-%C3%A2-%C3%A2-%C3%A2-i-on-whole-body-scans-can-reflect-good-therapeutic-effects-of-low-dose-radioactive-iodine-treatment-of-1-1-gbq
#4
Sung Hye Kong, Jung Ah Lim, Young Shin Song, Shinje Moon, Ye An Kim, Min Joo Kim, Sun Wook Cho, Jae Hoon Moon, Ka Hee Yi, Do Joon Park, Bo Youn Cho, Young Joo Park
BACKGROUND: After initial radioactive iodine (RAI) treatment in differentiated thyroid cancer patients, we sometimes observe a star-shaped region of intense uptake of ¹³¹I on whole body scans (WBSs), called a 'star artifact.' We evaluated the clinical implications of star artifacts on the success rate of remnant ablation and long-term prognosis. METHODS: Total 636 patients who received ¹³¹I dose of 1.1 GBq for the initial RAI therapy and who did not show distant metastasis at the time of diagnosis were retrospectively evaluated...
May 4, 2018: Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29766463/predictive-factors-for-the-outcomes-of-initial-i-131-low-dose-ablation-therapy-to-japanese-patients-with-differentiated-thyroid-cancer
#5
Shinji Ito, Shingo Iwano, Katsuhiko Kato, Shinji Naganawa
OBJECTIVE: To identify prognostic factors associated with a low-iodine diet (LID) and the amount of remnant thyroid tissue in Japanese patients with differentiated thyroid cancer (DTC) who received initial I-131 remnant ablation (RAI) using a fixed low dose of I-131 (1110 MBq). PATIENTS AND METHODS: In this prospective study, we enrolled 45 patients. Patients were classified into a self-managed LID group and a strict LID group. We measured the urinary iodine concentration on the day of RAI after patients consumed LID for 2 weeks...
May 15, 2018: Annals of Nuclear Medicine
https://www.readbyqxmd.com/read/29762261/a-retrospective-study-of-the-clinical-features-in-papillary-thyroid-microcarcinoma-depending-on-age
#6
Xuan Wang, Jian Tan, Wei Zheng, Ning Li
The aim of this study was to evaluate the clinical features and correlation of neck lymph node involvement of papillary thyroid microcarcinoma (PTMC) according to patients' age. We divided the patients into three groups according to age: young group (<45 years, n=83), middle group (45-54 years, n=80), and old group (≥55 years, n=53). The clinical features among the different groups were analyzed retrospectively. All of the 216 patients had received radioiodine ablation at least one time. Among these, 84 patients had central lymph node metastasis (CLNM), 11 patients had lateral lymph node metastasis (LLNM), and 26 patients had both CLNM and LLNM...
May 14, 2018: Nuclear Medicine Communications
https://www.readbyqxmd.com/read/29756327/use-of-radioiodine-131-scan-to-measure-influence-of-surgical-discipline-practice-and-volume-on-residual-thyroid-tissue-after-total-thyroidectomy-for-differentiated-thyroid-carcinoma
#7
Jin Soo A Song, Nico Moolman, Steven Burrell, Murali Rajaraman, Martin Joseph Bullock, Jonathan Trites, S Mark Taylor, Matthew H Rigby, Robert D Hart
BACKGROUND: Our study's purpose is to determine the influence of surgical discipline, surgeon site, and volume on remnant thyroid tissue visualized on radioactive iodine-131 (I-131) scans after total thyroidectomy and I-131 ablation in patients with well-differentiated thyroid carcinomas. METHODS: We retrospectively reviewed all cases of patients who received I-131 therapeutic ablation and postablation radioactive I-131 scans at our center after thyroidectomy to calculate the fraction of administered dose multiplied by 1000 (UDR1000)...
May 13, 2018: Head & Neck
https://www.readbyqxmd.com/read/29755799/spontaneous-regression-of-metastatic-papillary-thyroid-cancer-in-a-lymph-node
#8
Jien Shim, Jianyu Rao, Run Yu
Spontaneous regression of cancer is defined as disappearance of cancer in the absence of specific therapy. In thyroid cancer patients with biochemically incomplete response to initial treatments, spontaneous decline in thyroglobulin levels without any cancer treatment is a well-known phenomenon; however, spontaneous regression of persistent or recurrent structural disease has not been reported. We here present a case of papillary thyroid cancer in a 58-year-old female who underwent total thyroidectomy and two radioiodine ablations...
2018: Case Reports in Endocrinology
https://www.readbyqxmd.com/read/29747691/benign-thyroid-nodule-unresponsive-to-radiofrequency-ablation-treated-with-laser-ablation-a-case-report
#9
Silvia Oddo, Margherita Balestra, Lara Vera, Massimo Giusti
BACKGROUND: Radiofrequency ablation and laser ablation are safe and effective techniques for reducing thyroid nodule volume, neck symptoms, and cosmetic complaints. Therapeutic success is defined as a nodule reduction > 50% between 6 and 12 months after the procedure, but a percentage of nodules inexplicably do not respond to thermal ablation. CASE PRESENTATION: We describe the case of a young Caucasian woman with a solid benign thyroid nodule who refused surgery and who had undergone radiofrequency ablation in 2013...
May 11, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29742993/low-activity-radioactive-iodine-therapy-for-thyroid-carcinomas-exhibiting-nodal-metastases-and-extrathyroidal-extension-may-lead-to-early-disease-recurrence
#10
Karen P Chu, Sarah P Baker, Julianna K Zenke, Ahmed Morad, Sunita Ghosh, Don Morrish, Sandy McEwan, David C Williams, Diane Severin, Todd Patrick William McMullen
BACKGROUND: The application of radioactive iodine in differentiated thyroid carcinomas has become more selective in an attempt to decrease morbidity. While ablative success has been documented, it is less clear how changes in radioactive iodine treatment strategies will influence long-term recurrence rates for patients with larger tumours and adverse pathological features including extrathyroidal extension and nodal metastases. METHODS: Patients diagnosed between 1995-2008 with differentiated thyroid carcinoma treated with thyroidectomy followed by radioactive iodine treatment were eligible...
May 10, 2018: Thyroid: Official Journal of the American Thyroid Association
https://www.readbyqxmd.com/read/29742606/re-low-dose-radioactive-iodine-ablation-is-sufficient-in-patients-with-small-papillary-thyroid-cancer-having-minor-extrathyroidal-extension-and-central-lymph-node-metastasis-t3-n1a
#11
https://www.readbyqxmd.com/read/29740497/clinical-outcomes-and-associated-factors-of-radioiodine-131-treatment-in-differentiated-thyroid-cancer-with-cervical-lymph-node-metastasis
#12
Chung-Jie Cao, Cheng-Yun Dou, Jiayan Lian, Zhao-Sheng Luan, Wen Zhou, Wenlin Xie, Li Chen, Kehua Zhou, Hong Lai
Cervical lymph node metastasis (CLNM) is common in differentiated thyroid cancer (DTC). Radioiodine-131 (131 I) treatment is recommended for the removal of residual thyroid tissue following thyroidectomy. To date, the effect of 131 I therapy on the outcomes of patients with DTC with CLNM is unclear. The aim of the present study was to evaluate the final outcome of patients with DTC with CLNM according to 131 I administration, and to analyze the factors that may affect clinical outcomes. A total of 357 patients with DTC with CLNM were recruited and divided into three groups: Those who received 2, 3 or 4 doses of 131 I therapy, respectively...
May 2018: Oncology Letters
https://www.readbyqxmd.com/read/29740219/a-favorable-tumor-size-to-define-papillary-thyroid-microcarcinoma-an-analysis-of-1176-consecutive-cases
#13
Yanping Gong, Genpeng Li, Jianyong Lei, Jiaying You, Ke Jiang, Zhihui Li, Rixiang Gong, Jingqiang Zhu
Background: The optimal treatment strategy for papillary thyroid microcarcinoma (PTMC) has remained controversial. The purpose of this study was to provide a new reference value for PTMC to aid the selection of optimal management for minute lesions. Patients and methods: A pool of 1176 consecutive patients who met the inclusion criteria were ultimately enrolled in this study. The correlation of papillary thyroid carcinoma (PTC) tumor size and lymph node metastasis was analyzed...
2018: Cancer Management and Research
https://www.readbyqxmd.com/read/29729004/italian-consensus-on-diagnosis-and-treatment-of-differentiated-thyroid-cancer-joint-statements-of-six-italian-societies
#14
F Pacini, F Basolo, R Bellantone, G Boni, M A Cannizzaro, M De Palma, C Durante, R Elisei, G Fadda, A Frasoldati, L Fugazzola, R Guglielmi, C P Lombardi, P Miccoli, E Papini, G Pellegriti, L Pezzullo, A Pontecorvi, M Salvatori, E Seregni, P Vitti
BACKGROUND: Thyroid nodules are a common clinical problem, and differentiated thyroid cancer is becoming increasingly prevalent. METHODS: Six scientific Italian societies entitled to cure thyroid cancer patients (the Italian Thyroid Association, the Medical Endocrinology Association, the Italian Society of Endocrinology, the Italian Association of Nuclear Medicine and Molecular Imaging, the Italian Society of Unified Endocrine Surgery and the Italian Society of Anatomic Pathology and Diagnostic Cytology) felt the need to develop a consensus report based on significant scientific advances occurred in the field...
May 4, 2018: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/29725612/management-of-highly-differentiated-thyroid-follicular-carcinoma-of-ovarian-origin-with-a-minimally-invasive-approach
#15
McKayla J Riggs, Joseph K Kluesner, Caela R Miller
•Peritoneal strumosis is highly differentiated thyroid follicular carcinoma of ovarian origin.•Minimally invasive surgical techniques for peritonectomy can resect extra-ovarian disease.•Multi-disciplinary collaboration allowed avoidance of thyroid ablation and thyroidectomy.
May 2018: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/29723095/questionable-relevance-of-leukemia-risk-after-radioiodine-ablation-of-thyroid-cancer
#16
Ronald Fisher
No abstract text is available yet for this article.
May 3, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29714362/re-efficacy-and-safety-of-radiofrequency-ablation-for-benign-thyroid-nodules-a-prospective-multicenter-study
#17
COMMENT
Qi Di
No abstract text is available yet for this article.
May 2018: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/29707123/undetectable-or-low-1-ng-ml-postsurgical-thyroglobulin-values-do-not-rule-out-metastases-in-early-stage-differentiated-thyroid-cancer-patients
#18
Alfredo Campennì, Luca Giovanella, Salvatore Antonio Pignata, Antonio Vento, Angela Alibrandi, Letterio Sturiale, Riccardo Laudicella, Alessio Danilo Comis, Rossella Filice, Giuseppe Giuffrida, Maria Elena Stipo, Salvatore Giovinazzo, Francesco Trimarchi, Rosaria Maddalena Ruggeri, Sergio Baldari
Background: Differentiated thyroid cancer (DTC) work-up is based on (near)total-thyroidectomy plus thyroid remnant ablation (TRA) with 131-radioiodine in many patients, and long-life follow-up. 131 I-post therapy whole body scan (pT-WBS) and serum thyroglobulin (Tg) are used in identifying metastatic patients. Some authors have evaluated the possibility of using post-surgical Tg (ps-Tg) values in deciding for or against TRA. The aim of our study was to verify the diagnostic accuracy of 131 I-pT-WBS and SPECT/CT imaging (post-therapeutic imaging) compared to serum Tg levels in detecting metastases in early stage of DTC patients...
April 3, 2018: Oncotarget
https://www.readbyqxmd.com/read/29687416/mrecist-criteria-to-assess-recurrent-thyroid-carcinoma-treatment-response-after-radiofrequency-ablation-a-prospective-study
#19
S Mazzeo, R Cervelli, R Elisei, G Tarantini, C Cappelli, E Molinaro, D Galleri, L De Napoli, C Comite, R Cioni, P Vitti, D Caramella
PURPOSE: Surgical removal is recommended for recurrent thyroid carcinomas (RTCs) unable to uptake radioiodine and/or not responsive to chemotherapy. However, repeated neck dissection is difficult for surgeons. Thus, radiofrequency ablation (RFA) was proposed for RTCs. The aim of this prospective study is to assess RTC treatment response after RFA, according to well-established criteria. METHODS: Sixteen lesions in 13 patients were treated by RFA. All patients refused/were excluded from repeated surgery or other conventional therapy...
April 23, 2018: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/29684251/image-guided-chemical-and-thermal-ablations-for-thyroid-disease-review-of-efficacy-and-complications
#20
REVIEW
Iain J Nixon, Peter Angelos, Ashok R Shaha, Alessandra Rinaldo, Michelle D Williams, Alfio Ferlito
Image-guided ablation of thyroid disease is increasingly being commonly reported. Techniques including ethanol injection and thermal ablation using radio-frequency, laser, and microwave devices have been described. Minimally invasive approaches to the management of benign cystic, solid, and functional thyroid nodules as well as both primary and recurrent thyroid malignancy have been reported. The purpose of this article is to review the current evidence relating to image-guided ablation of thyroid disease with a focus on clinical outcomes and complication rates for patients treated with this minimally invasive approach...
April 23, 2018: Head & Neck
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