Release Date: 2024-06-10

Interventional Radiological Treatments in Thyroid Malignancies

Mesut Ozgokce (Author)

Release Date: 2024-06-10

Thyroid nodules are commonly found due to the widespread use of ultrasonography, with a prevalence of 19-67%. The diagnosis of thyroid cancer has tripled over the past 30 years. Most thyroid nodules are benign, with only 7-15% being malignant. Various guidelines like TI-RADS and ATA have been developed to improve the diagnosis and determine which [...]

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    Work TypeBook Chapter
    Published inThe Radiology of Cancer
    First Page507
    Last Page517
    DOIhttps://doi.org/10.69860/nobel.9786053359364.32
    Page Count11
    Copyright HolderNobel Tıp Kitabevleri
    Licensehttps://nobelpub.com/publish-with-us/copyright-and-licensing

    Thyroid nodules are commonly found due to the widespread use of ultrasonography, with a prevalence of 19-67%. The diagnosis of thyroid cancer has tripled over the past 30 years. Most thyroid nodules are benign, with only 7-15% being malignant. Various guidelines like TI-RADS and ATA have been developed to improve the diagnosis and determine which nodules should be biopsied, though none are highly sensitive or specific. The standard treatment for thyroid nodules is total thyroidectomy and radioactive iodine therapy, which can lead to complications such as nerve injury, parathyroid gland damage, scars, hypothyroidism, and requires prolonged hospitalization under general anesthesia. These drawbacks have led to the popularity of minimally invasive treatments, such as chemical (ethanol injection) and thermal ablation (radiofrequency, microwave, laser ablation, and high- intensity focused ultrasound). Minimally invasive treatments are effective for benign nodules and show promise for local tumor control in malignant nodules. Thermal ablation is also used for other conditions like parathyroid adenoma and small thyroid cancers. While surgery remains the primary option for recurrent thyroid cancers, ablation offers an alternative for patients with severe fibrosis or those who cannot tolerate surgery. This approach avoids risks associated with traditional surgery, such as vocal cord paralysis, hypothyroidism, hypoparathyroidism, scarring, long- term hormone therapy, and complications from anesthesia.

    Mesut Ozgokce (Author)
    Professor, Van Yuzuncu Yil University
    https://orcid.org/0000-0002-3095-2446
    3He completed primary and high school education in Van. He studied at Kocaeli University Medical School. Later, he did radiology residency at Atatürk University. He completed his mandatory service as a radiology specialist at Van Training and Research Hospital for two years. Afterwards, he worked at a private hospital for one year. Since 2016, he has been working in the Radiology Department at Van Yüzüncü Yıl University, specializing in both cardiothoracic imaging and interventional radiology. He received associate professorship in 2018 and has been serving as a professor since June 2024. He has published numerous scientific articles and given oral presentations at both national and international conferences. For English language training, he spent some time in Dublin (Ireland). Later, He worked as an observer in interventional radiology at UPM University (Malaysia) and Rush University (Chicago). Additionally, he is a member of the Turkish Society of Interventional Radiology, the Turkish Radiology Society, and the Turkish Thoracic Radiology Society.

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