Thyroid cancer diagnosed and treated surgically during pregnancy - a case report

被引:0
|
作者
Gietka-Czernel, Malgorzata [1 ]
Debska, Marzena [2 ]
Stachlewska-Nasfeter, Elzbieta [3 ,4 ]
Zgliczynski, Wojciech [1 ]
机构
[1] Med Ctr Postgrad Educ, Dept Endocrinol, PL-01813 Warsaw, Poland
[2] Med Ctr Postgrad Educ, Dept Obstet & Gynaecol, PL-01813 Warsaw, Poland
[3] Maria Sklodowska Curie Mem Canc Ctr, Head & Neck Canc Dept, Warsaw, Poland
[4] Inst Oncol, Warsaw, Poland
关键词
differentiated thyroid carcinoma; thyroid surgery during pregnancy; NODULES; SURGERY; GROWTH; CELLS; WOMEN;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Thyroid cancer has had an increasing prevalence over recent years and poses an extraordinary challenge when diagnosed during pregnancy. Although in the majority of cases in pregnant patients there occurs a well differentiated papillary carcinoma which has an excellent prognosis and for which surgery can be delayed until the postpartum period, in rare cases of advanced or rapidly growing tumour, and in a case of medullary or anaplastic cancer, surgery should be undertaken during pregnancy. Here, we present the case of a 30 year-old woman with Hurthle cell neoplasm recognised on cytology during the second trimester. Because of the neck lymph nodes metastases diagnosed on ultrasonography and cytology, which also could be seen as calcified foci on a chest X-ray examination performed three years earlier, she underwent surgery before the 22nd week of gestation. The course of surgery was successful and uneventful and she delivered a healthy child on term. An approach to pregnant patients with differentiated thyroid carcinoma is discussed. (Endokrynol Pol 2013; 64 (2): 158-163)
引用
收藏
页码:158 / 163
页数:6
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