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We describe an 81-year-old patient with unifocal PTMC who refused active surveillance and underwent percutaneous MWA. Two weeks after the procedure, the patient presented dyspnea and cough, and delayed tracheal perforation was confirmed by computed tomography. Conservative therapy was chosen as the initial treatment, and the tracheal defect was confirmed healing successfully 1 month later. Radiologists should be aware of the possibility of delayed tracheal perforation following MWA even in the absence of unusual intraoperative events.<\/jats:p>","DOI":"10.1177\/01455613251333185","type":"journal-article","created":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T13:09:16Z","timestamp":1745154556000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Delayed Tracheal Perforation After Microwave Ablation of Papillary Thyroid Microcarcinoma: A Case Report and Literature Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9037-0851","authenticated-orcid":false,"given":"Xiao","family":"Yang","sequence":"first","affiliation":[{"name":"West China School of Nursing, Department of Operating Room, West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyi","family":"Wang","sequence":"additional","affiliation":[{"name":"West China School of Nursing, Department of Operating Room, West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Tang","sequence":"additional","affiliation":[{"name":"West China School of Nursing, Department of Operating Room, West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rixiang","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Thyroid Surgery, West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Wei","sequence":"additional","affiliation":[{"name":"West China School of Nursing, Department of Operating Room, West China Hospital, Sichuan University, Chengdu, China"},{"name":"Department of Thyroid Surgery, West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhihui","family":"Li","sequence":"additional","affiliation":[{"name":"West China School of Nursing, Department of Operating Room, West China Hospital, Sichuan University, Chengdu, China"},{"name":"Department of Thyroid Surgery, West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,20]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19890301)63:5<908::AID-CNCR2820630520>3.0.CO;2-I"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.1"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2015.0020"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2017.03.004"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2019.0420"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/02656736.2018.1453092"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-024-11210-8"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.212313"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000508484"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-023-09908-2"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2021.0151"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2024.0535"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-024-11023-9"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25181"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-020-02632-0"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2021.08.004"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivr008"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2019.0707"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-024-10881-7"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2015-1964"},{"issue":"5","key":"e_1_3_2_22_2","article-title":"Delayed multifocal tracheal injury following thyroidectomy: a case report and review of the literature","volume":"12","author":"Shew M","year":"2020","unstructured":"Shew M, Boyd C, Kraft S. 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