Evaluation of radiofrequency ablation for benign thyroid tumors with a cosmetic score of more than 3

Ngo Van Tho1, Nguyen Quóc Dung2
1 K Central Hospital
2 Ha Noi medical university

Main Article Content

Abstract

Purpose: To evaluate the efficacy of radiofrequency ablation (RFA) for benign thyroid neoplasms with a cosmetic score of more than 3.


Materials and Methods: This prospective study was performed on 60 patients with benign thyroid nodules with a cosmetic score of more than 3 by radiofrequency ablation under ultrasound guidance at 108 Military Central Hospital from January 1. 2021 to July 2022. We evaluated the change in cosmetic, volume, angiogenesis, and clinical symptoms of patients at 1, 3, and 6 months after the intervention as well as complications, complications during intervention and treatment monitoring.


Results: Most patients are female, accounting for 91.7%. The most common age group is from 30 to 50 years old, accounting for 45% and the average age is 43.2 years old. Grade 3 and grade 4 cosmetic scores are equivalent. After 6 months of RFA, the angiogenesis score decreased to 24%, followed by the volume of thyroid nodules decreasing to 37%. The score of symptoms and cosmetics decreased by about 50% compared to before treatment. Complications were mild pain and mild hematoma after RFA, accounting for 5%.


Conclusion: Radiofrequency ablation is an effective and safe method for improving the cosmetic point of the neck in the treatment of benign thyroid nodules.

Article Details

References

1. R.Cesareo ., A.Palermo ., V.Pasqualini (2017). Efficacy and safety of a single radiofrequency ablation of solid benign non-functioning thyroid nodules. Arch Endocrinol Metab. Mar-Apr 2017;61(2):173-179.
2. Kim J. H., Baek J. H., Lim H. K., et al. (2018).Thyroid radiofrequency ablation guideline: korean society of thyroid radiology.Korean J Radiol, 19 (4), 632-655.
3. Nguyễn Thị Hà (2020). Đánh giá hiệu quả của kỹ thuật đốt sóng cao tần nhân lành tuyến giáp trên 3 cm. Luận văn thạc sĩ y học. Trường Đại Học Y Hà Nội.
4. Jung S.L., Baek J.H., Lee J.H et al(2018) Efficacy and safety of radiofrequency ablation for benign thyroid nodules: A prospective multicenter study. Korean journal of radiology. Jan-Feb 2018; 19(1): 167-174.
5. Brendan C. S. (2014), Thyroid Disease, www.womenshealth.gov.
6. Lê Thị My (2018). Đánh giá hiệu quả điều trị nhân nóng tuyến giáp bằng phương pháp đốt sóng cao tần, Luận văn bác sỹ chuyên khoa cấp 2, Trường Đại học Y Hà Nội.
7. Lim H. K., Lee J. H., Ha E. J., et al. (2012). Radiofrequency ablation of benign non-functioning thyroid nodules: 4-year follow-up results for 111 patients. Eur Radiol, 23 (4), 1044-1049.
8. Deandrea M., Trimboli P., Garino F et al (2019). Long-term efficacy of a single session of RFA for benign thyroid nodules: A Longitudinal 5- year Observational study. the Journal of clinical endocrinology and metabolism. Sep 1 2019; 104 (9): 3751-3756