Ultrasound‐guided thermal ablation for papillary thyroid microcarcinoma: A systematic review
Authors' conclusion
TA is an effective alternative method for surgery in the treatment of low-risk PTMC and has the advantages of being minimally invasive, economical, having less bleeding and having a high postoperative quality of life.
Study context
- Population
- Patients with papillary thyroid microcarcinoma (PTMC) treated with thermal ablation27 articles
- Comparison
- Ultrasound-guided thermal ablation for PTMC
- Outcome
- Indications, efficacy and safety of TA for PTMC
Methodological detailsPRISMA, Literature search until January 2022
- PRISMA
- Literature search until January 2022
Pooled result
As reported in the abstract
- Indications of thermal ablation (TA) for PTMC divided into six primary and three secondary indications
- Volume reduction rate highest after radiofrequency ablation (RFA), followed by microwave ablation and laser ablation (LA)
- Improvement in quality of life significantly better after TA than after thyroidectomy
- Rapid recovery after RFA, with no major complications, recurrence or lymph node metastasis
Safety
- No major complications after RFA
- LA is safe to important organs around the lesion
Original publication
Ultrasound‐guided thermal ablation for papillary thyroid microcarcinoma: A systematic review. Clin Endocrinol (Oxf). Published 12 December 2022. doi:10.
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