Hyperthyroidism secondary to a hydatidiform mole

被引:1
作者
Grzechocinska, Barbara [1 ]
Gajewska, Malgorzata [1 ]
Kedzierski, Maciej [1 ]
Gajda, Sylwia [2 ]
Jedrzejak, Piotr [1 ]
Wielgos, Miroslaw [1 ]
机构
[1] Med Univ Warsaw, Dept Obstet & Gynecol 1, Warsaw, Poland
[2] M Sklodowska Curie Mem Inst, Ctr Canc, Endocrine Oncol & Nucl Med Clin, Warsaw, Poland
关键词
gestational trophoblastic disease; hydatidiform mole; hCG; hyperthyroidism;
D O I
10.5603/GP.a2021.0185
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The case presented in the article is that of a 47-year-old female patient with hyperthyroidism induced by a hydatidiform mole. Attention was drawn to the necessity of preparing the patient for a procedure with drugs that stabilize the hormonal activity of the thyroid. The removal of the hydatidiform mole resulted in gradual normalization of thyroid hormone levels. The trophoblast has a hormonal activity, secrete hCG (human chorionic gonadotropin). The hCG partial structural homology causes affinity to the TSH (thyroid stimulating hormone) receptor. The higher the weight of the trophoblast, the higher the production and concentration of hCG in the blood. Therefore, gestational trophoblastic disease may be accompanied by hyperthyroidism. The problem is frequently described, however, due to the risk of developing thyroid storm, it cannot be overlooked [1].
引用
收藏
页码:741 / 742
页数:2
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