怀孕期间的甲状腺结节和甲状腺癌
Sanja Medenica1,2, Durairaj Arjunan3, Violeta Mladenovic4
1Department of Endocrinology, Internal Medicine Clinic, Clinical Center of Montenegro, Podgorica, Montenegro.
概括
甲状腺结节 (TN) 可以在怀孕期间发展或生长. 管理包括监测,如细针吸收细胞学 (FNAC) 和手术等手术通常会推迟到分娩后.
科学领域:
- 内分泌学 在内分泌学.
- 产科 产科 产科 产科 产科
- 在瘤学瘤学.
背景情况:
- 怀孕期间的生理变化增加了甲状腺的大小.
- 甲状腺结节 (TN) 在2-3%的怀孕中发展或扩大.
- 母亲的年龄,均和状况影响了TN的发育.
研究的目的:
- 在怀孕期间概述甲状腺结节的管理.
- 讨论孕妇甲状腺癌的诊断和治疗.
- 为了突出怀孕期间甲状腺疾病的监测策略.
主要方法:
- 怀孕期间对TN的监测反映了一般人口的指导方针.
- 精细针吸收细胞学 (FNAC) 推迟,除非怀疑恶性瘤.
- 手术只适用于严重的,快速生长的或可疑的结节,通常在怀孕的第二个三个月.
主要成果:
- 乳头甲状腺癌 (PTC) 是怀孕期间最常见的甲状腺癌.
- 怀孕时甲状腺癌的预后有利,对存活率的影响最小.
- 建议定期监测TSH和甲状腺超声波 (TUS).
结论:
- 怀孕期间甲状腺结节的管理需要仔细考虑母亲和胎儿的福祉.
- 早期检测和适当的监测对于有利的结果至关重要.
- 遵守既定的指导方针可以确保在怀孕期间有效管理甲状腺疾病.
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