Recent advances in non-vascular interventional diagnosis and treatment of thyroid nodules / 介入放射学杂志

ABSTRACT

Non-vascular interventional diagnostic methods of thyroid nodules include ultrasonography-guided fine-needle aspiration cytology(USgFNAC)and ultrasonography-guided core-needle biopsy(USgCNB).USgFNAC is a practical method used to select and to guide the treatment of various thyroid nodules, however, it is difficult to make a differentiation between benign and malignant lesions simply to rely on the findings of a small number of cells.USgCNB has the advantage of being able to obtain satisfactory specimen enough for making a histological diagnosis, although this procedure is contraindicated in some patients.Non-vascular interventional treatments of thyroid nodules include percutaneous ethanol injection(PEI) and ultrasonography-guided interstitial laser photocoagulation(USgILP).Both PEI and USgILP have fine effect on the benign thyroid nodules.Compared with PEI, laser-induced necrosis can be well controlled, thus, the adverse reactions, such as the formation of fibrosis adjacent to the nodule, vocal cord paralysis, etc.can be avoided.Non-vascular interventional treatments may cause some untoward effects.For the diagnosis and treatment of thyroid nodules, the non-vascular interventional procedure is simple, safe, effective and economic with less complications, therefore, this technique is worth being popularized in clinical practice.