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[Radiofrequency ablation of benign thyroid nodules].

Authors:
Frank Grünwald Justus Baumgarten Christian Happel Amir Sabet Daniel Gröner

Laryngorhinootologie 2022 07 23;101(7):569-573. Epub 2022 Jun 23.

Klinik für Nuklearmedizin, Universitätsklinikum Frankfurt, Goethe-Universität Frankfurt am Main, Frankfurt am Main.

Radiofrequency ablation is an effective tool to treat benign thyroid nodules up to about 100 ml. It is well tolerated and is - together with echopulse therapy - currently the most frequently used technique in Germany for the local therapy of benign thyroid nodules. Overall, a volume reduction of about 50 % to 70 % can be expected. Cystic nodules and mixed-pattern lesions respond slightly better than solid nodules. Initial volume, structure and echogenicity are important parameters influencing the therapeutic efficacy. Bipolar as well as monopolar methods are used - the choice of the method depends mainly on the personal experience. For bigger nodules, the bipolar technique is preferred. Cooled systems should be favored, especially when using larger probes. Serious side effects are rare (< 1 %) and transient in most cases.

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http://dx.doi.org/10.1055/a-1057-3222DOI Listing
July 2022

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