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open access

Vol 64, No 2 (2013)
Case report
Submitted: 2013-05-14
Published online: 2013-04-30
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Thyroid cancer diagnosed and treated surgically during pregnancy — a case report

Małgorzata Gietka-Czernel, Marzena Dębska, Elżbieta Stachlewska-Nasfeter, Wojciech Zgliczyński
Endokrynol Pol 2013;64(2):158-163.

open access

Vol 64, No 2 (2013)
Case report
Submitted: 2013-05-14
Published online: 2013-04-30

Abstract

Thyroid cancer has had an increasing prevalence over recent years and poses an extraordinary challenge when diagnosed during pregnancy. Although in the majority of cases in pregnant patients there occurs a well differentiated papillary carcinoma which has an excellent prognosis and for which surgery can be delayed until the postpartum period, in rare cases of advanced or rapidly growing tumour, and in a case of medullary or anaplastic cancer, surgery should be undertaken during pregnancy. Here, we present the case of a 30 year-old woman with Hürthle cell neoplasm recognised on cytology during the second trimester. Because of the neck lymph nodes metastases diagnosed on ultrasonography and cytology, which also could be seen as calcified foci on a chest X-ray examination performed three years earlier, she underwent surgery before the 22nd week of gestation. The course of surgery was successful and uneventful and she delivered a healthy child on term. An approach to pregnant patients with differentiated thyroid carcinoma is discussed. (Endokrynol Pol 2013; 64 (2): 158–163)

Abstract

Thyroid cancer has had an increasing prevalence over recent years and poses an extraordinary challenge when diagnosed during pregnancy. Although in the majority of cases in pregnant patients there occurs a well differentiated papillary carcinoma which has an excellent prognosis and for which surgery can be delayed until the postpartum period, in rare cases of advanced or rapidly growing tumour, and in a case of medullary or anaplastic cancer, surgery should be undertaken during pregnancy. Here, we present the case of a 30 year-old woman with Hürthle cell neoplasm recognised on cytology during the second trimester. Because of the neck lymph nodes metastases diagnosed on ultrasonography and cytology, which also could be seen as calcified foci on a chest X-ray examination performed three years earlier, she underwent surgery before the 22nd week of gestation. The course of surgery was successful and uneventful and she delivered a healthy child on term. An approach to pregnant patients with differentiated thyroid carcinoma is discussed. (Endokrynol Pol 2013; 64 (2): 158–163)

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Keywords

differentiated thyroid carcinoma; thyroid surgery during pregnancy

About this article
Title

Thyroid cancer diagnosed and treated surgically during pregnancy — a case report

Journal

Endokrynologia Polska

Issue

Vol 64, No 2 (2013)

Article type

Case report

Pages

158-163

Published online

2013-04-30

Page views

786

Article views/downloads

2558

Bibliographic record

Endokrynol Pol 2013;64(2):158-163.

Keywords

differentiated thyroid carcinoma
thyroid surgery during pregnancy

Authors

Małgorzata Gietka-Czernel
Marzena Dębska
Elżbieta Stachlewska-Nasfeter
Wojciech Zgliczyński

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