Efficacy of radiofrequency ablation for papillary thyroid microcarcinoma in Vietnam Dr Le Thi My ~ Thyroid center Vinmec Times Cty Hospital ne I, BACKGROUND THERMAL ABLATION FOR PIMC {VINMEC MINIMIIĐML 4 THyrold cancer Number of new cases in 2020, both sexes, all ages Mh most common cancer In: 2 (nan Ma: 0 “400.000 new cases/yea (on the worl), VN “E000 new cases HHT————————ưu Man {eat We =—— SHU) (ti 0 P5854 thyroid cancer 1s papllary carcinoma type (good prognosis time survival 25-30 years) tal a) nl cat 37713 $y tic Meanomao sin lự Own 0 PIMC ‘is a thyroid cancer with small tumors that are 1.0 em ‘al, corrervoalstem (ay I TS maximum in dlameter wth WHO defination)~ T2NOMO Malte elon 1h Nà Gulblader bóng i Thyroid Jun WH Aint A) Source: Globocan 2020 Tess Bh m.: ) IWWW !ÿWWW 00000) WM 61 Ps 3008 lrlgt0 [1N luI\lm |3!) Vagna [0 l #WW A fy \ l Neck tension Voice $WÚùUQ — HH \ and tenderness problems pURU ©» windpipe Hematoma Decreased parathyroid Recurent lrynge hormone activity nerve injury Background th NEIM 20 Theoden j 4 incidence / 3 8 1i ' /' | lnllteý i ty fala tod ane ThuroidCancer Incidence and Related Mortal in South Korea, 1953-201, {VINMEC Thyroid Carcnoma, Version 2.2022 PMO \NúUIt' FMA AGNOSTIC PREOPERATIVE OR PRIMARY TREATMENT RESULTS PROCEDURES TRAOPERATIVE DECISION-MAKING CRITERIA cansor |oltlly opnh | Phy andrc urs] Kw itl mete |Mhihjewhlud ( Lfh@ddlulaln ‘wal compari),no) f+ Tuenn aalanl ry ate ceclympohde } CMR! wth conrasfor ‘metaosr tpoas sceesna lcaly add dae || cnn ete hen op | Poorly louliuwuuuel |Cnprt raton rol cadntty ||| agargay iMeeituldidted | \ }* Cofo bnlrtnodal }Fined asprinNA) {or suspicious trl ach yo and ck usd =e \obactony! Coynph cnots)a—— Mang acpmy bv] rine Mal ru hu Therevised clinical practice guidelines onthe managemofethnyrtoid tumors bythe Japan Associations ofndorin Surgeons: Core questions and recommefnor tdreaatmtenitsoofnthysroid cancer Yt Nay Ono? and Taio hav th Tsk Fuse of he pn Asin of Eden Sugth Celinnohyo Tumors Table} Risesof PC Rik Desnipn Nia lok THNOMO Lại ——_TIONOMO Hens pee Hig — MladowdflkilUUuy IÏlm 2)extn thrid ekasion aunt stu yp forthe seid vài , us tlre i A ra hop mt) Í 3c naa ts ow W ul Supresion |—— 2047 Thyroid Radiofrequency Ablation Guideline: Korean Society of Thyroid Ratilogy Joo in, MD, Pangan Bek, MD PA?Hyun jung Lin MD, Hye hin Ab, MO, Seo Baek, MD; Yoon JungCo HO’, Youn Jun Chi PA”, Se Rom Cun, HD, tunJt HO Sort in a), Oa Sk Ki, HD", Syn din in, HO" Yeo Koo in, HD",hyi Yo i JegHn Le, D, PD, Avant a, HO a ti KA egSeo ak, PAD,HenPa, Mm Sdn Hee Shin, MD, PD! CongHyun ub MO’, Yong Sung, MO ung Sok Sin, MD, PD Inttu Youn, MO, PH, yungCho PAD, dong Gu Na, MO, PHD": Guitn mnie forthe Noa Soy of Thr Ratology (THR) and Korean Society of atlogy Key Quen 3 ha the adeno Ro Key Question 2) Wha Ane the ndeaton for REA fo Pinay Thyroid Cancers? Recurrent Thyroid Cancers? Saray sa standard treatment opin thy thid_(Reconmendtio2n} cance Tee ations fo Ro pina Ratorequeney alain a eprmed fo cutor cash et en eat ead Hoe in plate purposes in the ecurenttcanhceyiatdhe pis wth pinay ty cancer whofe suey or lhyilelom ad and cervical gh notefso patsat bih sual ir vhost, wh cannot undergo an open, thamal btn canbe considered as an alteratve, Recent, RF, laser tation coat ude q,ty eer (Ua lowe tina eaten patents wth papilay tod micocarcinoa (FTA), OW nea Guldelines tu hel ON ON SNS European Thyroid Association and Cardiovascular [TUYITTIYYITT and Interventional Radological Society of Europe 2001 Clinical Practice Guideline forthe Use of Minimally Invasive Treatments in Malignant DICin the follwing lun se Sexaninton 1, PIMC Syedade li a Unresectable thyroidcancer Nowe fetal ead Potion aon ý Teal ove Palin 4, Neckympnohde recurences of DIC pin pian \lnhhr pụt 4, Distant metastases Estrada ead Irdtultnuw Hada NAT moa na tran MCA, pop tyro! ican, rand