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<p>Microwave ablation (MWA) can be used to treat autonomously functioning thyroid nodules. The authors performed ultrasound-guided microwave ablation on a child with an autonomously functioning thyroid nodule who was unwilling to undergo surgery. The patient was a 12-y-old girl with anxiety, weakness, tremors, palpitations, heat intolerance and weight loss. Since I<sup>131</sup> treatment is unsuitable for pediatric patients, ultrasound-guided microwave ablation was performed. Postoperatively, her symptoms improved and she gained weight. Thyroid hormone levels normalized within a month, and the neck mass shrank. Follow-up at 9 mo showed the nodule gradually shrinking. Microwave ablation is a safe and effective treatment for pediatric autonomously functioning thyroid nodules. Future studies are needed to assess long-term outcomes.</p>

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Ultrasound-Guided Microwave Ablation for Autonomous Hyperfunctioning Thyroid Nodule in a Child

  • 期刊论文

  • 发表日期：

    2025年7月18日

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  • Meiye Li,
  • Xin Li,
  • Hongxia Zhang,
  • Jingyu Chen,
  • Zhenzhen Zhao,
  • Jun Zhang,
  • Xiangru Kong

摘要

Microwave ablation (MWA) can be used to treat autonomously functioning thyroid nodules. The authors performed ultrasound-guided microwave ablation on a child with an autonomously functioning thyroid nodule who was unwilling to undergo surgery. The patient was a 12-y-old girl with anxiety, weakness, tremors, palpitations, heat intolerance and weight loss. Since I131 treatment is unsuitable for pediatric patients, ultrasound-guided microwave ablation was performed. Postoperatively, her symptoms improved and she gained weight. Thyroid hormone levels normalized within a month, and the neck mass shrank. Follow-up at 9 mo showed the nodule gradually shrinking. Microwave ablation is a safe and effective treatment for pediatric autonomously functioning thyroid nodules. Future studies are needed to assess long-term outcomes.