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妊娠期分化型甲状腺癌的管理

Management of differentiated thyroid cancer in pregnancy.

作者信息

Imran Syed Ali, Rajaraman Murali

机构信息

Division of Endocrinology and Metabolism, Dalhousie University, Halifax, NS, Canada B3H 2Y9.

出版信息

J Thyroid Res. 2011;2011:549609. doi: 10.4061/2011/549609. Epub 2011 May 25.

Abstract

In young women, differentiated thyroid cancer is the second most common malignancy diagnosed around the time of pregnancy. Management of thyroid cancer during pregnancy poses distinct challenges due to concerns regarding maternal and fetal well-being. In most cases surgery can be safely delayed until after delivery and with adequate management and outcome of pregnancy in women with thyroid cancer is excellent. Ideally these patients should be managed by a multidisciplinary team, and management plan should be determined by a consensus between the patient and the healthcare team.

摘要

在年轻女性中,分化型甲状腺癌是孕期诊断出的第二大常见恶性肿瘤。由于担心母婴健康,孕期甲状腺癌的管理面临着独特的挑战。在大多数情况下,手术可以安全地推迟到分娩后进行,并且通过适当的管理,甲状腺癌女性的妊娠结局非常好。理想情况下,这些患者应由多学科团队进行管理,管理计划应由患者与医疗团队共同商定。

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本文引用的文献

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Thyroid and parathyroid surgery in pregnancy.妊娠期间的甲状腺和甲状旁腺手术。
Eur Arch Otorhinolaryngol. 2010 Dec;267(12):1825-35. doi: 10.1007/s00405-010-1390-0. Epub 2010 Sep 28.
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Thyroid hormone early adjustment in pregnancy (the THERAPY) trial.甲状腺激素在妊娠早期的调整(THERAPY)试验。
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10
Free T4 immunoassays are flawed during pregnancy.游离甲状腺素免疫测定在孕期存在缺陷。
Am J Obstet Gynecol. 2009 Mar;200(3):260.e1-6. doi: 10.1016/j.ajog.2008.10.042. Epub 2008 Dec 27.

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