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Radiology：对于甲状腺乳头状癌患者，这一技术一定要知道！

2021-08-15 shaosai MedSci原创

射频消融微波消融甲状腺乳头状癌
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微波消融(MWA)和射频消融(RFA)作为甲状腺乳头状癌(PTC)的微创治疗方式近年来备受关注。然而，T1N0M0 PTC的消融结果并不是很明确。

  微波消融(MWA)和射频消融(RFA)作为甲状腺乳头状癌(PTC)的微创治疗方式近年来备受关注。然而，T1N0M0 PTC的消融结果并不是很明确。 评价单纯T1N0M0 PTC热消融(MWA或RFA)治疗不符合(合并心血管疾病、肾功能衰竭、其他恶性肿瘤等)或拒绝手术的患者的疗效和安全性。 对于甲状腺乳头状癌(PTC)的最佳治疗方法(侵袭性或保守性)尚无明确的共识。最初的治疗选择是手术，如甲状腺全切除、甲状腺次全切除或伴有或不伴有颈部淋巴结清扫的叶切除术。手术的复发率较低，但术中喉返神经及甲状旁腺的损伤会影响手术预后。最近美国甲状腺协会指南对偶然发现PTC的患者引入了积极监测(AS)治疗及随访策略。然而，这种随访策略可能会导致患者的焦虑，以致许多AS患者最终接受延迟手术(DS)。 US引导的热消融方式，包括微波消融(MWA)和射频消融(RFA)，最近作为甲状腺肿瘤的微创治疗方式以越来越多的引起了人们的关注。根据2017年韩国甲状腺放射学会甲状腺射频消融指南，对于良性甲状腺结节和复发性甲状腺癌患者，RFA可作为手术之外的一种替代性治疗选择。美国癌症联合委员会TNM分期系统将分

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    2021-08-30 jianjun66

    #乳头状#

    0

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    2021-08-12 Smile2680

    #甲状腺乳头状癌患者#

    0

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    2022-01-15 ms8000002139618140

    哪些微小癌适合消融的标准不清晰

    0

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    2022-01-15 walking

    希望有更多的研究

    0

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    2021-08-17 寒冰煞雪

    热消融技术为微小肿瘤带来真正的微创同时具有安全性

    0

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    2021-08-13 yzh399

    #甲状腺乳头状癌#

    0

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