Morris P C
Creighton University School of Medicine, Nebraska Methodist Hospital Cancer Center, Omaha, USA.
Obstet Gynecol Clin North Am. 1998 Jun;25(2):401-5. doi: 10.1016/s0889-8545(05)70013-9.
Thyroid nodules and thyroid cancer are more common in women than in men. It is not uncommon to find a thyroid nodule during pregnancy that requires investigation. Fortunately, most cancers found during pregnancy are differentiated thyroid cancers with an excellent prognosis. Fine-needle aspiration is safe and accurate during pregnancy. Cancer discovered early in pregnancy can safely be operated on in the second trimester. Cancers or nodules discovered later in pregnancy can have work-up and treatment delayed until after delivery. No data support pregnancy termination or the proscription of future pregnancy in these patients.
甲状腺结节和甲状腺癌在女性中比在男性中更为常见。在孕期发现需要进一步检查的甲状腺结节并不罕见。幸运的是，孕期发现的大多数癌症是分化型甲状腺癌，预后良好。孕期进行细针穿刺是安全且准确的。孕期早期发现的癌症可在孕中期安全地进行手术。孕期后期发现的癌症或结节可推迟检查和治疗直至分娩后。没有数据支持对这些患者终止妊娠或禁止其未来怀孕。
