Nicht operative Therapie benigner nodulärer Schilddrüsenveränderungen: Gibt es Alternativen zur Thyroidektomie?

Zusammenfassung

Noduläre Schilddrüsenveränderungen sind ein sehr häufiges Krankheitsbild mit dem Kollegen aller Fachbereiche häufig konfrontiert werden. Patienten mit Schilddrüsenzysten oder benignen Schilddrüsenknoten leiden an leichten, jedoch subjektiv störenden Symptomen. Hierbei steht die klinische Harmlosigkeit der Erkrankung in direkter Diskrepanz zum Aufwand der Schilddrüsenoperation, die heute standardmäßig durchgeführt wird. Im Folgenden möchten wir Ihnen einen Überblick über die heute möglichen alternativen, nicht operativen Therapieverfahren bei Patienten mit gutartigen Schilddrüsenknoten oder Schilddrüsenzysten geben:

Abstract

Nodular disease of the thyroid is a very common disorder with which colleagues from all disciplines are frequently confronted. Particularly for patients with benign thyroid nodules or cystic lesions the expenditure and risks of standardly performed thyroidectomy stands in discrepancy with the clinical harmlessness of the disease. For this reason we would like to give an overview of possible non-surgical alternatives in the therapy of benign thyroid nodules and cysts, if they cause unpleasant symptoms.

Schlüsselwörter

Radiofrequenzablation - Mikrowellenablation - Ethanolablation - Ultraschall-gestützte Behandlung von Schilddrüsenknoten

Keywords

radiofrequency ablation - microwave ablation - ethanol ablation - percutaneous interventional ultrasound-guided therapy

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