Thermal ablation for Bethesda III and IV thyroid nodules: current diagnosis and management
The diagnosis and management of Bethesda III and IV thyroid nodules remain clinical dilemmas. Current guidelines from academic societies suggest active surveillance or diagnostic lobectomy. However, the extent of surgery is often inappropriate, and a considerable percentage of patients experience un...
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| Format: | Article |
| Language: | English |
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Korean Society of Ultrasound in Medicine
2024-11-01
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| Series: | Ultrasonography |
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| Online Access: | http://www.e-ultrasonography.org/upload/usg-24083.pdf |
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| _version_ | 1846163837292642304 |
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| author | Wen-Hui Chan Pi-Ling Chiang An-Ni Lin Yen-Hsiang Chang Wei-Che Lin |
| author_facet | Wen-Hui Chan Pi-Ling Chiang An-Ni Lin Yen-Hsiang Chang Wei-Che Lin |
| author_sort | Wen-Hui Chan |
| collection | DOAJ |
| description | The diagnosis and management of Bethesda III and IV thyroid nodules remain clinical dilemmas. Current guidelines from academic societies suggest active surveillance or diagnostic lobectomy. However, the extent of surgery is often inappropriate, and a considerable percentage of patients experience under- or over-treatment. Thermal ablation has gained popularity as a safe and effective alternative treatment option for benign thyroid nodules. This review explores the feasibility of thermal ablation for Bethesda III or IV thyroid nodules, aiming to preserve the thyroid organ and avoid unnecessary surgery. It emphasizes individualized management, the need to consider factors including malignancy risk, clinical characteristics, and sonographic features, and the importance of supplemental tests such as repeat fine needle aspiration cytology, core needle biopsy, molecular testing, and radioisotope imaging. |
| format | Article |
| id | doaj-art-5f53a1bdba1741a2af9f804bf73a770a |
| institution | Kabale University |
| issn | 2288-5943 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Korean Society of Ultrasound in Medicine |
| record_format | Article |
| series | Ultrasonography |
| spelling | doaj-art-5f53a1bdba1741a2af9f804bf73a770a2024-11-18T23:59:01ZengKorean Society of Ultrasound in MedicineUltrasonography2288-59432024-11-0143639540610.14366/usg.240831730Thermal ablation for Bethesda III and IV thyroid nodules: current diagnosis and managementWen-Hui Chan0Pi-Ling Chiang1An-Ni Lin2Yen-Hsiang Chang3Wei-Che Lin4 Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, and Chang Gung University College of Medicine, Taoyuan, Taiwan Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, Taiwan Thyroid Head and Neck Ablation Center, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan Department of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, and Chang Gung University College of Medicine, Kaohsiung, TaiwanThe diagnosis and management of Bethesda III and IV thyroid nodules remain clinical dilemmas. Current guidelines from academic societies suggest active surveillance or diagnostic lobectomy. However, the extent of surgery is often inappropriate, and a considerable percentage of patients experience under- or over-treatment. Thermal ablation has gained popularity as a safe and effective alternative treatment option for benign thyroid nodules. This review explores the feasibility of thermal ablation for Bethesda III or IV thyroid nodules, aiming to preserve the thyroid organ and avoid unnecessary surgery. It emphasizes individualized management, the need to consider factors including malignancy risk, clinical characteristics, and sonographic features, and the importance of supplemental tests such as repeat fine needle aspiration cytology, core needle biopsy, molecular testing, and radioisotope imaging.http://www.e-ultrasonography.org/upload/usg-24083.pdfthyroid noduleradiofrequency ablationthermal ablationbethesda iiibethesda iv |
| spellingShingle | Wen-Hui Chan Pi-Ling Chiang An-Ni Lin Yen-Hsiang Chang Wei-Che Lin Thermal ablation for Bethesda III and IV thyroid nodules: current diagnosis and management Ultrasonography thyroid nodule radiofrequency ablation thermal ablation bethesda iii bethesda iv |
| title | Thermal ablation for Bethesda III and IV thyroid nodules: current diagnosis and management |
| title_full | Thermal ablation for Bethesda III and IV thyroid nodules: current diagnosis and management |
| title_fullStr | Thermal ablation for Bethesda III and IV thyroid nodules: current diagnosis and management |
| title_full_unstemmed | Thermal ablation for Bethesda III and IV thyroid nodules: current diagnosis and management |
| title_short | Thermal ablation for Bethesda III and IV thyroid nodules: current diagnosis and management |
| title_sort | thermal ablation for bethesda iii and iv thyroid nodules current diagnosis and management |
| topic | thyroid nodule radiofrequency ablation thermal ablation bethesda iii bethesda iv |
| url | http://www.e-ultrasonography.org/upload/usg-24083.pdf |
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