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本文引用的文献

1
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.
2
Evaluation of the thyroid function of healthy pregnant women by five different hormone assays.通过五种不同的激素检测方法评估健康孕妇的甲状腺功能。
Pharmazie. 2010 Jun;65(6):436-9.
3
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。
J Clin Endocrinol Metab. 2010 Jul;95(7):3234-41. doi: 10.1210/jc.2010-0013. Epub 2010 May 12.
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Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer.美国甲状腺协会修订的甲状腺结节和分化型甲状腺癌患者管理指南。
Thyroid. 2009 Nov;19(11):1167-214. doi: 10.1089/thy.2009.0110.
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Clinical and molecular features of differentiated thyroid cancer diagnosed during pregnancy.妊娠期诊断的分化型甲状腺癌的临床和分子特征。
Eur J Endocrinol. 2010 Jan;162(1):145-51. doi: 10.1530/EJE-09-0761. Epub 2009 Oct 14.
6
Care of the pregnant thyroid cancer patient.甲状腺癌患者妊娠的处理。
Curr Opin Oncol. 2010 Jan;22(1):1-5. doi: 10.1097/CCO.0b013e328332f8df.
7
Correlations of free thyroid hormones measured by tandem mass spectrometry and immunoassay with thyroid-stimulating hormone across 4 patient populations.通过串联质谱法和免疫测定法测定的游离甲状腺激素与促甲状腺激素在4个患者群体中的相关性。
Clin Chem. 2009 Jul;55(7):1380-8. doi: 10.1373/clinchem.2008.118752. Epub 2009 May 21.
8
Outcomes following thyroid and parathyroid surgery in pregnant women.孕妇甲状腺和甲状旁腺手术后的结局
Arch Surg. 2009 May;144(5):399-406; discussion 406. doi: 10.1001/archsurg.2009.48.
9
Higher maternal TSH levels in pregnancy are associated with increased risk for miscarriage, fetal or neonatal death.孕期母亲促甲状腺激素(TSH)水平升高与流产、胎儿或新生儿死亡风险增加有关。
Eur J Endocrinol. 2009 Jun;160(6):985-91. doi: 10.1530/EJE-08-0953. Epub 2009 Mar 9.
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.

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.

DOI:10.4061/2011/549609
PMID:21687597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3112517/
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。