Non-Surgical Approaches to the Management of the Intrathoracic Goiter-A Systematic Review.

Autor:	Miani C; Department of Otorhinolaryngology, Academic Hospital 'Santa Maria Della Misericordia', Azienda Sanitaria Universitaria Friuli Centrale, Piazzale Santa Maria Della Misericordia 15, 33100 Udine, Italy.; Department of Medicine (DAME), University of Udine, Via Colugna 50, 33100 Udine, Italy., Locatello LG; Department of Otorhinolaryngology, Academic Hospital 'Santa Maria Della Misericordia', Azienda Sanitaria Universitaria Friuli Centrale, Piazzale Santa Maria Della Misericordia 15, 33100 Udine, Italy., Caiazza N; Department of Otorhinolaryngology, Academic Hospital 'Santa Maria Della Misericordia', Azienda Sanitaria Universitaria Friuli Centrale, Piazzale Santa Maria Della Misericordia 15, 33100 Udine, Italy., Bergamin-Bracale AM; Department of Otorhinolaryngology, Academic Hospital 'Santa Maria Della Misericordia', Azienda Sanitaria Universitaria Friuli Centrale, Piazzale Santa Maria Della Misericordia 15, 33100 Udine, Italy., Rigo S; Department of Otorhinolaryngology, Academic Hospital 'Santa Maria Della Misericordia', Azienda Sanitaria Universitaria Friuli Centrale, Piazzale Santa Maria Della Misericordia 15, 33100 Udine, Italy., Rugiu MG; Department of Otorhinolaryngology, Sant'Antonio Abate Hospital, Azienda Sanitaria Universitaria Friuli Centrale, 33028 Tolmezzo, Italy., Zuin A; Department of Medicine (DAME), University of Udine, Via Colugna 50, 33100 Udine, Italy.; Department of Thoracic Surgery, Academic Hospital 'Santa Maria Della Misericordia', Azienda Sanitaria Universitaria Friuli Centrale, Piazzale Santa Maria Della Misericordia 15, 33100 Udine, Italy., Simo R; Department of Otorhinolaryngology Head and Neck Surgery, Guy's and St Thomas' Hospital NHS Foundation Trust, King's College London, London SE1 7EH, UK.
Jazyk:	angličtina
Zdroj:	Journal of personalized medicine [J Pers Med] 2024 Oct 29; Vol. 14 (11). Date of Electronic Publication: 2024 Oct 29.
DOI:	10.3390/jpm14111079
Abstrakt:	Background: Intrathoracic goiters (ITGs) are usually managed by surgical excision, However, over recent years, non-surgical strategies are emerging as an alternatives for treating this condition. Methods: A systematic review of research published since 2017 in the PubMed database was conducted and a total of 39 articles were retrieved, along with methodological issues and future directions in the research on ITGs. Results: Several non-surgical treatments exist, including radio-iodine ablation (RIA) and mini-invasive approaches, such as transcervical microwave ablation (TcMA), transcervical radiofrequency ablation (TcRfA), or selective embolization of the thyroid arteries (SETA). Despite encouraging reports, their current use remains limited. Conclusions: Treatment of ITGs requires a multidisciplinary thyroid team, and when non-surgical options are chosen, patients need to be carefully selected, and their outcomes must be prudently considered and discussed with the patient.
Databáze:	MEDLINE
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