ISSN: 1859 - 2872
Đốt sóng cao tần nhân độc tuyến giáp: Báo cáo 2 ca lâm sàng
Main Article Content
Keywords
Đốt sóng cao tần, nhân nóng tuyến giáp, nhân độc tuyến giáp
Tóm tắt
Một số bệnh nhân có nhân nóng tuyến giáp không phù hợp với phương pháp điều trị bằng phẫu thuật hoặc liệu pháp phóng xạ. Vì vậy, phương pháp điều trị can thiệp tối thiểu như phá huỷ bằng cồn tuyệt đối hoặc đốt sóng cao tần là cần thiết. Báo cáo 2 ca lâm sàng: Hai ca lâm sàng được chẩn đoán nhân nóng trước điều trị sóng cao tần. Kết quả sau điều trị giảm triệu chứng lâm sàng, xét nghiệm hormon tuyến giáp về bình thường, giảm thể tích nhân sau điều trị 3 tháng, 6 tháng và 12 tháng. Không gặp biến chứng nào. Kết luận: RFA cho thấy tính hiệu quả và an toàn trong điều trị cho nhân độc tự trị tuyến giáp và có thể khuyến cáo là phương pháp điều trị trước tiên cho nhân nóng tuyến giáp.
Article Details
Các tài liệu tham khảo
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2. Gharib H, Tuttle RM, Baskin HJ, Fish LH, Singer PA, McDermott MT (2005) Subclinical thyroid dysfunction:a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society. J Clin Endocrinol Metab 90: 581-585; discussion 586–587.
3. Parle JV, Maisonneuve P, Sheppard MC, Boyle P, Franklyn JA (2001) Prediction of all-cause and cardiovascular mortality in elderly people from one low serum thyrotropin result: A 10-year cohort study. Lancet 358: 861-865.
4. Tarantino L, Francica G, Sordelli I, Sperlongano P, Parmeggiani D, Ripa C, Parmeggiani U (2008) Percutaneous ethanol injection of hyperfunctioning thyroid nodules: Long-term follow-up in 125 patients. AJR Am J Roentgenol 190: 800-808.
5. Gambelunghe G, Fatone C, Ranchelli A, Fanelli C, Lucidi P, Cavaliere A, Avenia N, d’Ajello M, Santeusanio F, De Feo P (2006) A randomized controlled trial to evaluate the efficacy of ultrasound-guided laser photocoagulation for treatment of benign thyroid nodules. J Endocrinol Invest 29: 23-26.
6. Spiezia S, Vitale G, Di Somma C, Pio Assanti A, Ciccarelli A, Lombardi G, Colao A (2003) Ultrasound-guided laser thermal ablation in the treatment of autonomous hyperfunctioning thyroid nodules and compressive nontoxic nodular goiter. Thyroid 13: 941-947.
7. Amabile G, Rotondi M, Pirali B, Dionisio R, Agozzino L, Lanza M, Buonanno L, Di Filippo B, Fonte R, Chiovato L (2011) Interstitial laser photocoagulation for benign thyroid nodules: Time to treat large nodules. Lasers Surg Med 43: 797–803.
8. Brkljacic B, Sucic M, Bozikov V, Hauser M, Hebrang A (2001) Treatment of autonomous and toxic thyroid adenomas by percutaneous ultrasound-guided ethanol injection. Acta Radiol 42: 477-481.
9. Barbaro D, Orsini P, Lapi P, Pasquini C, Tuco A, Righini A, Lemmi P (2007) Percutaneous laser ablation in the treatment of toxic and pretoxic nodular goiter. Endocr Pract 13: 30–36.
10. Dossing H, Bennedbaek FN, Bonnema SJ, Grupe P, Hegedus L (2007) Randomized prospective study comparing a single radioiodine dose and a single laser therapy session in autonomously functioning thyroid nodules. Eur J Endocrinol 157: 95-100.
11. Guglielmi R, Pacella CM, Bianchini A, Bizzarri G, Rinaldi R, Graziano FM, Petrucci L, Toscano V, Palma E, Poggi M, Papini E (2004) Percutaneous ethanol injection treatment in benign thyroid lesions: Role and efficacy. Thyroid 14: 125–131.
12. Pacella CM, Bizzarri G, Spiezia S, Bianchini A, Guglielmi R, Crescenzi A, Pacella S, Toscano V, Papini E (2004) Thyroid tissue: US-guided percutaneous laser thermal ablation. Radiology 232: 272–280.
13. Baek JH, Kim YS, Sung JY, Choi H, Lee JH (2011) Locoregional control of metastatic well-differentiated thyroid cancer by ultrasound-guided radiofrequency ablation. AJR Am J Roentgenol 197: 331-336.
14. Jeong WK, Baek JH, Rhim H, Kim YS, Kwak MS, Jeong HJ, Lee D (2008) Radiofrequency ablation of benign thyroid nodules: Safety and imaging follow-up in 236 patients. Eur Radiol 18: 1244-1250.
15. Baek JH, Moon WJ, Kim YS, Lee JH, Lee D (2009) Radiofrequency ablation for the treatment of autonomously functioning thyroid nodules. World J Surg 33: 1971-1977.
16. Fuller CW, Nguyen SA, Lohia S, Gillespie MB (2014) Radiofrequency ablation for treatment of benign thyroid nodules: Systematic review. Laryngoscope 124: 346–353.
17. Lippi F, Ferrari C, Manetti L, Rago T, Santini F, Monzani F, Bellitti P, Papini E, Busnardo B, Angelini F, Pinchera A (1996) Treatment of solitary autonomous thyroid nodules by percutaneous ethanol injection: Results of an Italian multicenter study. The Multicenter Study Group. J Clin Endocrinol Metab 81: 3261–3264.
18. Livraghi T, Paracchi A, Ferrari C, Reschini E, Macchi RM, Bonifacino A (1994) Treatment of autonomous thyroid nodules with percutaneous ethanol injection: 4-year experience. Radiology 190: 529-533.
19. Monzani F, Caraccio N, Goletti O, Lippolis PV, Casolaro A, Del Guerra P, Cavina E, Miccoli P (1997) Five-year follow-up of percutaneous ethanol injection for the treatment of hyperfunctioning thyroid nodules: A study of 117 patients. Clin Endocrinol (Oxf) 46: 9-15.
20. Shin JE, Baek JH, Lee JH (2013) Radiofrequency and ethanol ablation for the treatment of recurrent thyroid cancers: Current status and challenges. Curr Opin Oncol 25: 14-19.
21. Na DG, Lee JH, Jung SL, Kim JH, Sung JY, Shin JH, Kim EK, Lee JH, Kim DW, Park JS, Kim KS, Baek SM, Lee Y, Chong S, Sim JS, Huh JY, Bae JI, Kim KT, Han SY, Bae MY, Kim YS, Baek JH, Korean Society of Thyroid R, Korean Society of R (2012) Radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: Consensus statement and recommendations. Korean J Radiol 13: 117–125.
22. Ha EJ, Baek JH, Lee JH, Sung JY, Lee D, Kim JK, Shong YK (2013) Radiofrequency ablation of benign thyroid nodules does not affect thyroid function in patients with previous lobectomy. Thyroid 23: 289-293.
2. Gharib H, Tuttle RM, Baskin HJ, Fish LH, Singer PA, McDermott MT (2005) Subclinical thyroid dysfunction:a joint statement on management from the American Association of Clinical Endocrinologists, the American Thyroid Association, and the Endocrine Society. J Clin Endocrinol Metab 90: 581-585; discussion 586–587.
3. Parle JV, Maisonneuve P, Sheppard MC, Boyle P, Franklyn JA (2001) Prediction of all-cause and cardiovascular mortality in elderly people from one low serum thyrotropin result: A 10-year cohort study. Lancet 358: 861-865.
4. Tarantino L, Francica G, Sordelli I, Sperlongano P, Parmeggiani D, Ripa C, Parmeggiani U (2008) Percutaneous ethanol injection of hyperfunctioning thyroid nodules: Long-term follow-up in 125 patients. AJR Am J Roentgenol 190: 800-808.
5. Gambelunghe G, Fatone C, Ranchelli A, Fanelli C, Lucidi P, Cavaliere A, Avenia N, d’Ajello M, Santeusanio F, De Feo P (2006) A randomized controlled trial to evaluate the efficacy of ultrasound-guided laser photocoagulation for treatment of benign thyroid nodules. J Endocrinol Invest 29: 23-26.
6. Spiezia S, Vitale G, Di Somma C, Pio Assanti A, Ciccarelli A, Lombardi G, Colao A (2003) Ultrasound-guided laser thermal ablation in the treatment of autonomous hyperfunctioning thyroid nodules and compressive nontoxic nodular goiter. Thyroid 13: 941-947.
7. Amabile G, Rotondi M, Pirali B, Dionisio R, Agozzino L, Lanza M, Buonanno L, Di Filippo B, Fonte R, Chiovato L (2011) Interstitial laser photocoagulation for benign thyroid nodules: Time to treat large nodules. Lasers Surg Med 43: 797–803.
8. Brkljacic B, Sucic M, Bozikov V, Hauser M, Hebrang A (2001) Treatment of autonomous and toxic thyroid adenomas by percutaneous ultrasound-guided ethanol injection. Acta Radiol 42: 477-481.
9. Barbaro D, Orsini P, Lapi P, Pasquini C, Tuco A, Righini A, Lemmi P (2007) Percutaneous laser ablation in the treatment of toxic and pretoxic nodular goiter. Endocr Pract 13: 30–36.
10. Dossing H, Bennedbaek FN, Bonnema SJ, Grupe P, Hegedus L (2007) Randomized prospective study comparing a single radioiodine dose and a single laser therapy session in autonomously functioning thyroid nodules. Eur J Endocrinol 157: 95-100.
11. Guglielmi R, Pacella CM, Bianchini A, Bizzarri G, Rinaldi R, Graziano FM, Petrucci L, Toscano V, Palma E, Poggi M, Papini E (2004) Percutaneous ethanol injection treatment in benign thyroid lesions: Role and efficacy. Thyroid 14: 125–131.
12. Pacella CM, Bizzarri G, Spiezia S, Bianchini A, Guglielmi R, Crescenzi A, Pacella S, Toscano V, Papini E (2004) Thyroid tissue: US-guided percutaneous laser thermal ablation. Radiology 232: 272–280.
13. Baek JH, Kim YS, Sung JY, Choi H, Lee JH (2011) Locoregional control of metastatic well-differentiated thyroid cancer by ultrasound-guided radiofrequency ablation. AJR Am J Roentgenol 197: 331-336.
14. Jeong WK, Baek JH, Rhim H, Kim YS, Kwak MS, Jeong HJ, Lee D (2008) Radiofrequency ablation of benign thyroid nodules: Safety and imaging follow-up in 236 patients. Eur Radiol 18: 1244-1250.
15. Baek JH, Moon WJ, Kim YS, Lee JH, Lee D (2009) Radiofrequency ablation for the treatment of autonomously functioning thyroid nodules. World J Surg 33: 1971-1977.
16. Fuller CW, Nguyen SA, Lohia S, Gillespie MB (2014) Radiofrequency ablation for treatment of benign thyroid nodules: Systematic review. Laryngoscope 124: 346–353.
17. Lippi F, Ferrari C, Manetti L, Rago T, Santini F, Monzani F, Bellitti P, Papini E, Busnardo B, Angelini F, Pinchera A (1996) Treatment of solitary autonomous thyroid nodules by percutaneous ethanol injection: Results of an Italian multicenter study. The Multicenter Study Group. J Clin Endocrinol Metab 81: 3261–3264.
18. Livraghi T, Paracchi A, Ferrari C, Reschini E, Macchi RM, Bonifacino A (1994) Treatment of autonomous thyroid nodules with percutaneous ethanol injection: 4-year experience. Radiology 190: 529-533.
19. Monzani F, Caraccio N, Goletti O, Lippolis PV, Casolaro A, Del Guerra P, Cavina E, Miccoli P (1997) Five-year follow-up of percutaneous ethanol injection for the treatment of hyperfunctioning thyroid nodules: A study of 117 patients. Clin Endocrinol (Oxf) 46: 9-15.
20. Shin JE, Baek JH, Lee JH (2013) Radiofrequency and ethanol ablation for the treatment of recurrent thyroid cancers: Current status and challenges. Curr Opin Oncol 25: 14-19.
21. Na DG, Lee JH, Jung SL, Kim JH, Sung JY, Shin JH, Kim EK, Lee JH, Kim DW, Park JS, Kim KS, Baek SM, Lee Y, Chong S, Sim JS, Huh JY, Bae JI, Kim KT, Han SY, Bae MY, Kim YS, Baek JH, Korean Society of Thyroid R, Korean Society of R (2012) Radiofrequency ablation of benign thyroid nodules and recurrent thyroid cancers: Consensus statement and recommendations. Korean J Radiol 13: 117–125.
22. Ha EJ, Baek JH, Lee JH, Sung JY, Lee D, Kim JK, Shong YK (2013) Radiofrequency ablation of benign thyroid nodules does not affect thyroid function in patients with previous lobectomy. Thyroid 23: 289-293.
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