热消融技术治疗甲状腺微小乳头状癌的研究进展

Research progress of thermal ablation in the treatment of thyroid micropapillary carcinoma

甲状腺癌是最常见的头颈部恶性肿瘤,其中以甲状腺乳头状癌最常见,直径≤1.0 cm的甲状腺乳头状癌称为甲状腺微小乳头状癌。近年来热消融技术治疗甲状腺微小乳头状癌在国内外迅速发展,有较好的临床疗效和安全性。目前国内外发布了较多与甲状腺微小乳头状癌热消融治疗相关的指南、共识和临床研究,但关于热消融治疗甲状腺微小乳头状癌的适应证在不同指南中存在差异,其中低危微小甲状腺乳头状癌是目前多数指南推荐的甲状腺热消融技术的适应证,但低危微小甲状腺乳头状癌的定义仍有争议。本文基于现有文献、指南、临床研究,总结甲状腺癌热消融治疗的优势、适应证、疗效、安全性、消融后的中医药治疗以及存在的问题,并进行概述、探讨和分析。

Thyroid cancer is the most common malignant tumor of the head and neck,among which papillary thyroid carcinoma is the most common.Papillary thyroid carcinoma with a diameter of≤1.0 cm is called thyroid micropapillary carcinoma.In recent years,thermal ablation technology for the treatment of thyroid micropapillary carcinoma has developed rapidly at home and abroad.At present,many guidelines,consensus and clinical studies related to thermal ablation treatment of thyroid micropapillary carcinoma have been published at home and abroad.Based on the existing literature,guidelines and clinical studies,this article summarizes,discusses and analyzes the advantages,indications,efficacy,safety,and existing problems of thermal ablation therapy for thyroid cancer.