Ultrasound-guided percutaneous laser ablation (LA) in treating symptomatic solid benign thyroid nodules: Our experience in 45 patients

Enrico Di Stasio, Gaetano Achille, Stefania Zizzi, Alberto Grammatica, Luciano Grammatica

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Laser ablation may be useful in debulking of benign thyroid nodules. Methods: To evaluate retrospectively the effectiveness and safety of LA, 45 patients with benign solid thyroid nodules, with a fluid component ≤20%, were included in our series between October 2009 and January 2011. All reported pressure and/or cosmetic complaints. Nd:YAG laser at 1064 nm was used, with a fix-power (3W), changing the application time. All patients were evaluated at baseline, 6 and 12 months. Complications were recorded. Results: mean nodule volume reduction decreased from 24.2 mL ±19.4 to 4.5 ± 5.2 at 12 months (p<0.001). Mean nodule volume reduction was 84% ± 13. Cosmetic signs were completely resolved in 87%, reduced in 9%, unchanged in 2%; pressure symptoms were resolved in 88%. One patient experienced transient dysphonia. Conclusions: US-guided LA is an effective tool for treatment of symptomatic benign thyroid nodules in patients not eligible for surgery. This article is protected by copyright. All rights reserved.
Original languageEnglish
Pages (from-to)677-682
Number of pages6
JournalHEAD &amp; NECK
Volume38
DOIs
Publication statusPublished - 2016

Keywords

  • Laser ablation

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