甲状腺癌和怀孕:一个系统的十年审查
Thrasyvoulos Panagiotakopoulos1,2, Angeliki Chorti1, Ioannis Pliakos2
11st Propedeutic Department of Surgery, AHEPA University Hospital of Thessaloniki, School of Medicine, Aristotle University, Thessaloniki, Greece.
Gland surgery
|July 17, 2024
概括
怀孕期间的甲状腺癌通常需要对分化良好的瘤进行监测,手术推迟到产后. 侵袭性或非差异化甲状腺癌需要立即进行手术以提高存活率.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 甲状腺癌是怀孕中第二常见的恶性瘤,尤其是分化良好的甲状腺癌 (well-DTC).
- 在怀孕期间治疗甲状腺癌带来了复杂的医疗和社会挑战.
- 有效的管理需要对甲状腺癌和怀孕有充分的了解.
研究的目的:
- 审查怀孕和产后患者甲状腺癌的诊断和治疗策略.
- 综合当前关于怀孕期间管理甲状腺癌的证据.
主要方法:
- 从2011年到2023年进行了一项文献综述.
- 最初确定了296个物品,最终在选后包括了33个.
- 包括的研究包括队列研究和病例报告.
主要成果:
- 可以监测具有轻度特征的分化良好的甲状腺瘤,并将手术推迟到分娩后.
- 侵袭性或非差异化甲状腺癌需要立即进行手术,以防止减少存活率.
- 甲状腺癌的病史不会影响未来的分娩,如果在怀孕时没有残留疾病.
结论:
- 怀孕期间甲状腺癌的治疗策略取决于瘤的分化和攻击性.
- 及时的手术干预对于怀孕期间的侵袭性甲状腺癌至关重要.
- 产后手术是选择区分良好的甲状腺癌的可行选择.
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