Thermal ablation for papillary thyroid microcarcinoma: Some clarity amid controversies
The increasing incidence of papillary thyroid microcarcinoma (PTMC) has become a global challenge. Because of its indolent nature, active surveillance (AS) has been proposed as a treatment option in selected PTMC patients to prevent surgery-related complications. However, only a few patients with PT...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
KeAi Communications Co., Ltd.
2022-11-01
|
| Series: | Journal of Interventional Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2096360222000497 |
| _version_ | 1797987138674884608 |
|---|---|
| author | Wenwen Yue Shurong Wang Huixiong Xu |
| author_facet | Wenwen Yue Shurong Wang Huixiong Xu |
| author_sort | Wenwen Yue |
| collection | DOAJ |
| description | The increasing incidence of papillary thyroid microcarcinoma (PTMC) has become a global challenge. Because of its indolent nature, active surveillance (AS) has been proposed as a treatment option in selected PTMC patients to prevent surgery-related complications. However, only a few patients with PTMC receive the AS approach because of the serious psychological burden following the “cancer” diagnosis and the uncertainty of the timing for metastatic dissemination. Ultrasound (US)-guided thermal ablation can bridge the gap in the treatment options of PTMC patients who wish for a minimally invasive management approach. However, it has acquired only marginal attention from the thyroid guideline societies because of concerns regarding incomplete elimination. The recently published guidelines from the European Thyroid Association-Cardiovascular and Interventional Radiological Society of Europe and the American Head Neck Society Endocrine Section -initiated global consensus provide the most definitive evidence and essential foundational experience to address the long-term controversy over US-guided thermal ablation for low-risk PTMC patient management and facilitate the responsible global dissemination of minimally invasive strategies. |
| first_indexed | 2024-04-11T07:42:57Z |
| format | Article |
| id | doaj.art-5f5a8294fdc84c5fb4e0ff949be0aa9f |
| institution | Directory Open Access Journal |
| issn | 2096-3602 |
| language | English |
| last_indexed | 2024-04-11T07:42:57Z |
| publishDate | 2022-11-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Journal of Interventional Medicine |
| spelling | doaj.art-5f5a8294fdc84c5fb4e0ff949be0aa9f2022-12-22T04:36:25ZengKeAi Communications Co., Ltd.Journal of Interventional Medicine2096-36022022-11-0154171172Thermal ablation for papillary thyroid microcarcinoma: Some clarity amid controversiesWenwen Yue0Shurong Wang1Huixiong Xu2Corresponding author.; Department of Medical Ultrasound, Shanghai Tenth People's Hospital, Ultrasound Research and Education Institute, School of Medicine, Tongji University, Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, Shanghai, 200072, PR ChinaDepartment of Medical Ultrasound, Shanghai Tenth People's Hospital, Ultrasound Research and Education Institute, School of Medicine, Tongji University, Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, Shanghai, 200072, PR China; Department of Ultrasound, Yantai Hospital of Shandong Wendeng Orthopaedics & Traumatology, Yantai, 264499, PR ChinaDepartment of Medical Ultrasound, Shanghai Tenth People's Hospital, Ultrasound Research and Education Institute, School of Medicine, Tongji University, Shanghai Engineering Research Center of Ultrasound Diagnosis and Treatment, National Clnical Research Center of Interventional Medicine, Shanghai, 200072, PR China; Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, 200032, PR ChinaThe increasing incidence of papillary thyroid microcarcinoma (PTMC) has become a global challenge. Because of its indolent nature, active surveillance (AS) has been proposed as a treatment option in selected PTMC patients to prevent surgery-related complications. However, only a few patients with PTMC receive the AS approach because of the serious psychological burden following the “cancer” diagnosis and the uncertainty of the timing for metastatic dissemination. Ultrasound (US)-guided thermal ablation can bridge the gap in the treatment options of PTMC patients who wish for a minimally invasive management approach. However, it has acquired only marginal attention from the thyroid guideline societies because of concerns regarding incomplete elimination. The recently published guidelines from the European Thyroid Association-Cardiovascular and Interventional Radiological Society of Europe and the American Head Neck Society Endocrine Section -initiated global consensus provide the most definitive evidence and essential foundational experience to address the long-term controversy over US-guided thermal ablation for low-risk PTMC patient management and facilitate the responsible global dissemination of minimally invasive strategies.http://www.sciencedirect.com/science/article/pii/S2096360222000497Papillary thyroid microcarcinomaThermal ablationThyroidUltrasound |
| spellingShingle | Wenwen Yue Shurong Wang Huixiong Xu Thermal ablation for papillary thyroid microcarcinoma: Some clarity amid controversies Journal of Interventional Medicine Papillary thyroid microcarcinoma Thermal ablation Thyroid Ultrasound |
| title | Thermal ablation for papillary thyroid microcarcinoma: Some clarity amid controversies |
| title_full | Thermal ablation for papillary thyroid microcarcinoma: Some clarity amid controversies |
| title_fullStr | Thermal ablation for papillary thyroid microcarcinoma: Some clarity amid controversies |
| title_full_unstemmed | Thermal ablation for papillary thyroid microcarcinoma: Some clarity amid controversies |
| title_short | Thermal ablation for papillary thyroid microcarcinoma: Some clarity amid controversies |
| title_sort | thermal ablation for papillary thyroid microcarcinoma some clarity amid controversies |
| topic | Papillary thyroid microcarcinoma Thermal ablation Thyroid Ultrasound |
| url | http://www.sciencedirect.com/science/article/pii/S2096360222000497 |
| work_keys_str_mv | AT wenwenyue thermalablationforpapillarythyroidmicrocarcinomasomeclarityamidcontroversies AT shurongwang thermalablationforpapillarythyroidmicrocarcinomasomeclarityamidcontroversies AT huixiongxu thermalablationforpapillarythyroidmicrocarcinomasomeclarityamidcontroversies |