J Korean Thyroid Assoc.  2014 Nov;7(2):111-117. 10.11106/cet.2014.7.2.111.

Non-surgical, Image-guided Management of Benign Thyroid Nodules

Affiliations
  • 1Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jhshin11@skku.edu

Abstract

Most thyroid nodules are cytologically benign and can be managed nonsurgically. Asymptomatic benign nodules require follow-up without treatment. Cosmetic problems and/or compression-related symptoms may be indications for treatment. Until now in clinical practices, nonsurgical image-guided therapy includes percutaneous ethanol injection, radiofrequency ablation, laser ablation, and high intensity focused ultrasound. Percutaneous ethanol injection should be used as the first-line therapy for recurrent symptomatic cystic nodules. Radiofrequency ablation is an effective procedure for obtaining shrinkage and improving symptoms of solid thyroid nodules. Better understanding of image-guided therapy makes physicians personalize the management of benign thyroid nodules according to a cost-benefit analysis.

Keyword

Thyroid nodule; Ultrasonography; Radiofrequency ablation

MeSH Terms

Catheter Ablation
Cost-Benefit Analysis
Ethanol
Follow-Up Studies
Humans
Laser Therapy
Thyroid Nodule*
Ultrasonography
Ethanol
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