Clinical Characteristics of Thyroid Micropapillary Carcinoma

Lee, Joon Kyoo; Choi, Jeong Uk; Oh, Seung Eun; Lee, Dae‐Woong; Cho, Sung Woo; Lim, Sang Chul; Shin, Min‐Ho

doi:10.3342/kjorl-hns.2009.52.8.679

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…Traditional thyroidectomy is a mature technique used in the treatment of PTMC, and the effect is accurate, but due to the need for an incision of 6-8 cm, the injury is relatively large and bleeding is relatively high (25,26). Additionally, hematomas can compress the trachea and esophagus, and even cause suffocation, the neck flap, muscles, nerves, and blood vessels can be greatly damaged during the operation, normal blood and lymphatic reflux can be destroyed, and parathyroid-gland damage can cause complications, such as hypocalcemia convulsions (27,28).…”

Section: Discussionmentioning

confidence: 99%

The efficacy and safety of microwave ablation versus conventional open surgery for the treatment of papillary thyroid microcarcinoma: a systematic review and meta-analysis

Wang¹,

Jiang²,

Liu³

et al. 2022

Gland Surg

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Background: Microwave ablation (MWA) technology has been applied to the treatment of papillary thyroid microcarcinoma (PTMC); however, its use as an alternative to conventional open surgery (OS) remains controversial, because it belongs to non-tumor radical treatment. Our article sought to compare the efficacy and safety of MWA and OS in the treatment of PTMC.Methods: We searched seven databases for studies evaluating the treatment of patients with PTMC using MWA as intervention group and OS as control group, the main outcome contained intra-operative, postoperative and follow-up outcomes. Review Manager 5.4 was used to estimate the effects of the results of the included articles and Cochrane Risk of Bias 2.0 was used to assess the risk of bias. The data were pooled to calculate the mean differences (MD) with 95% confidence intervals (CIs) for the continuous data and the odds ratio (OR) with 95% CIs for the dichotomous data.Results: A total of 13 studies, comprising 1,088 and 1,081 patients in the MWA and OS groups, respectively, were identified that compared the results of MWA to OS in the treatment of PTMC. All of the articles were at low risk of bias. There were no differences in terms of the recurrence rate (OR =0.80, 95% CI: 0.37 to 1.77; P=0.59) or lymph node metastasis (OR =0.71, 95% CI: 0.26 to 1.95; P=0.51) between the 2 groups. However, compared to the OS group, the MWA group had a shorter operation time (MD =-44.

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