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围产期甲状腺癌患者生殖管理策略的进展:一项叙述性综述

Advances in reproductive management strategies for thyroid cancer patients during the perinatal period: a narrative review.

作者信息

Dong Ying, Gou Juxiang

机构信息

Department of Thyroid Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

Front Oncol. 2025 Sep 1;15:1642792. doi: 10.3389/fonc.2025.1642792. eCollection 2025.

Abstract

Changes in thyroid function during the perinatal period significantly impact patients' fertility, necessitating targeted adjustments in management strategies to ensure hormone stability while weighing the effects of treatment on both the mother and the fetus. Therefore, comprehensive management during the perinatal period is essential to promote effective reproductive outcomes. This study aims to review the relationship between thyroid cancer and fertility, focusing on reproductive management strategies during the preconception, pregnancy, and postpartum periods in patients with thyroid cancer. Additionally, we will synthesize this information into illustrative figures to provide clinical healthcare professionals with a theoretical foundation for improving reproductive care for thyroid cancer patients throughout the perinatal period, thereby facilitating comprehensive reproductive health management.

摘要

围产期甲状腺功能的变化会显著影响患者的生育能力,因此需要针对性地调整管理策略,以确保激素稳定,同时权衡治疗对母亲和胎儿的影响。所以,围产期的综合管理对于促进有效的生殖结局至关重要。本研究旨在回顾甲状腺癌与生育能力之间的关系,重点关注甲状腺癌患者在孕前、孕期和产后的生殖管理策略。此外,我们将把这些信息整合到说明性图表中,为临床医护人员提供理论基础,以便在围产期改善对甲状腺癌患者的生殖护理,从而促进全面的生殖健康管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3aa/12434112/f1d0959d7a60/fonc-15-1642792-g001.jpg

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