Sullivan Scott A
Department of Obstetrics/Gynecology, Division of Maternal-Fetal Medicine, Medical University of South Carolina, Charleston, South Carolina.
Clin Obstet Gynecol. 2019 Jun;62(2):365-372. doi: 10.1097/GRF.0000000000000431.
Thyroid nodules and thyroid cancer discovered during pregnancy can result in significant anxiety for patients may present a challenge for providers. The prevalence of thyroid nodules is reported to vary between 3% and 21%. The estimated overall prevalence of thyroid cancer during pregnancy is 14.4 per 100,000 births. Imaging and possible tissue diagnosis should be considered for palpable thyroid nodules. Benign or stable nodules can usually be observed through pregnancy. Suspicious masses may require surgical treatment, best handled through multidisciplinary care. Clinicians should be aware of the care and management recommendations during the antepartum and postpartum periods.
孕期发现的甲状腺结节和甲状腺癌会给患者带来极大焦虑,也可能给医护人员带来挑战。据报道,甲状腺结节的患病率在3%至21%之间。孕期甲状腺癌的总体估计患病率为每10万例分娩中有14.4例。对于可触及的甲状腺结节,应考虑进行影像学检查及可能的组织诊断。良性或稳定的结节在孕期通常可进行观察。可疑肿块可能需要手术治疗,最好通过多学科护理来处理。临床医生应了解产前和产后期间的护理及管理建议。