Thyroid cancer in pregnancy: diagnosis, management, and treatment

被引：0

作者：

Jonathan Langdon

Akshya Gupta

Kedar Sharbidre

Ferenc Czeyda-Pommersheim

Margarita Revzin

机构：

[1] Yale School of Medicine,Department of Radiology and Biomedical Imaging

[2] University of Rochester,Department of Radiology and Imaging Science

[3] University of Alabama at Birmingham,Department of Radiology, Heersink School of Medicine

来源：

Abdominal Radiology | 2023年 / 48卷

关键词：

Thyroid Cancer; Pregnancy; Ultrasound; Fine Needle Aspiration; Management Guidelines;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

The evaluation and management of cancer during pregnancy requires special care to assure the health and safety of both the mother and fetus. The diagnosis and treatment of thyroid cancer in the non-pregnant patient often involves radioactive iodine exposure. However, radioactive iodine is contraindicated in pregnancy and surgical interventions pose risks to both the mother and fetus. Thus, the management of thyroid cancer during pregnancy is a unique clinical challenge. In this review, we discuss the imaging of thyroid nodules during pregnancy, including the role of CT, MRI, and nuclear Imaging, as well as that of Ultrasound and FNA. The staging and prognosis are discussed along with the management, treatment, and surveillance of thyroid cancer in pregnancy. Finally, the risks to the fetus through treatment are examined. Case examples are provided with an emphasis on the appropriate direction of care from a radiologist’s perspective.

引用

页码：1724 / 1739

页数：15

共 40 条

[1]

Scott AR(2020)Trends in Cancer Incidence in US Adolescents and Young Adults, 1973–2015 JAMA Netw Open 3 265-272

[2]

Mazzaferri EL(2011)Approach to the pregnant patient with thyroid cancer J Clin Endocrinol Metab 96 7-9

[3]

Struve CW(1993)Influence of frequency of previous pregnancies on the prevalence of thyroid nodules in women without clinical evidence of thyroid disease Thyroid 3 315-389

[4]

Haupt S(2017)2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum Thyroid 27 1-133

[5]

Ohlen S(2016)2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer Thyroid 26 1010-1014

[6]

Alexander EK(2002)The effect of pregnancy on thyroid nodule formation J Clin Endocrinol Metab 87 1788-1796

[7]

Haugen BR(2013)Risk of thyroid cancer based on thyroid ultrasound imaging characteristics: results of a population-based study JAMA Intern Med 173 926-932

[8]

Kung AW(2004)Prevalence of thyroid disorders in the working population of Germany: ultrasonography screening in 96,278 unselected employees Thyroid 14 603-614

[9]

Smith-Bindman R(2015)The association of menstrual and reproductive factors with thyroid nodules in Chinese women older than 40 years of age Endocrine 48 1257-1259

[10]

Reiners C(2007)Increased frequency of thyroid nodules and breast fibroadenomas in women with uterine fibroids Thyroid 17 7-30

← 1 2 3 4 →