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Ultrasound-guided Percutaneous Microwave Ablation for Benign Thyroid Nodules

Not Applicable
Conditions
Thyroid Nodule
Interventions
Device: Microwave Ablation
Registration Number
NCT03057925
Lead Sponsor
Wenjun Wu
Brief Summary

Percutaneous microwave ablation(MWA) was reported as an effective modality for the management of thyroid nodules(TNs). This study aims to validate MWA as a feasible approach for patients with TNs for whom surgery is contraindicated or refused. Two groups of subjects with TNs(one group to treat with MWA and the other group to receive regular ultrasonic follow-up without any treatment) will be evaluated in term of TN volume, ultrasonic image and clinical symptoms.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria
  • age>18 years
  • benign thyroid nodules(TYP 2)
  • solid or predominantly solid(colloid component<30%)large (>3.0ml) thyroid nodules
  • refusal and/or inefficacy of surgery
Exclusion Criteria
  • pregnancy
  • malignant or suspicious thyroid nodules

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group AMicrowave AblationMWA Percutaneous Microwave Ablation intervention procedure: Ultrasound-guided Percutaneous Microwave Ablation
Primary Outcome Measures
NameTimeMethod
Change of the thyroid nodule volume assessed by ultrasonography after treatment vs simple clinical observationFrom time to treatment until 12 months. Time point evaluations at 1,3,6,12 months

Change of the thyroid nodule volume assessed by using ultrasonography, the volume reduction ratio(VRR) was calculated by the equation: VRR%=\[(initial volume-final volume)\*100\]/initial volume

Secondary Outcome Measures
NameTimeMethod
Improved score on TN-related symptomsFrom time to treatment until 12 months. Time point evaluations at 1,3,6,12 months

Evaluation of TN-related neck symptoms scored separately as follow:0(absent),1(moderate),2(severe). The sum of the individual scores generates a final score(SYS score) ranging from 0 to 6

Improved cosmetic grading scoreFrom time to treatment until 12 months. Time point evaluations at 1,3,6,12 months

Cosmetic problem evaluated by grading score(1,no palpable mass;2, no cosmetic problem but palpable mass; 3, a cosmetic problem on swallowing only; and 4, a readily detected cosmetic problem

Trial Locations

Locations (1)

The First Affiliated Hospital of Wenzhou Medical University

🇨🇳

Wenzhou, Zhejiang, China

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