Advanced thyroid carcinoma in pregnancy: case report of two pregnancies

被引:3
作者
Guerrero-Vazquez, Raquel [1 ]
Moreno Reina, Eduardo [2 ]
Gros Herguido, Noelia [1 ]
Martinez Brocca, Maria Asuncion [1 ]
Navarro Gonzalez, Elena [1 ]
机构
[1] Virgen del Rocio Univ Hosp, Dept Endocrinol & Nutr, Seville 41013, Spain
[2] Virgen del Rocio Univ Hosp, Dept Gynecol & Obstet, Seville 41013, Spain
关键词
Fetal monitoring; pregnancy; prognosis; thyroid carcinoma; MOLECULAR-FEATURES; CANCER; TUMOR; METASTASIS; MANAGEMENT; DIAGNOSIS; GROWTH; CELLS;
D O I
10.3109/09513590.2015.1018165
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Differentiated thyroid carcinoma is one of the most frequently diagnosed cancers during pregnancy, second only to breast cancer. Therefore, it would be of value to determine if there are pregnancy-related physiological effects that impact long-term prognosis for patients with this disease. Hormone effects attributable to -human chorionic gonadotropin and estrogens seem particularly likely. We present a case of a 40-year-old woman with thyroid follicular carcinoma with accompanying bone metastases. The cancer was discovered immediately after childbirth and the woman became pregnant again when the disease was in an advanced stage. We describe the cancer evolution and present the maternal and fetal results. Pregnancy in women with advanced thyroid carcinoma could affect long-term prognosis. However, more studies are needed to evaluate this hypothesis. In this unique case, there were two pregnancies and the second occurred in an advanced state of the disease. We evaluated how these pregnancies could affect short-term prognosis of the disease.
引用
收藏
页码:852 / 855
页数:4
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