Skip to main content
SpringerLink
Log in

Carcinoma tiroideo e gravidanza

Proposto da Rossella Elisei

  • Published:
L’Endocrinologo Aims and scope

Riassunto

La gestione del carcinoma tiroideo in gravidanza comporta scelte terapeutiche importanti in considerazione dei potenziali rischi per la paziente e per il feto. La maggior parte delle donne in gravidanza affette da carcinoma tiroideo differenziato può effettuare il trattamento chirurgico dopo il parto. In questi casi è opportuno monitorare il nodulo mediante l’ecografia del collo e la funzionalità tiroidea ed eseguire terapia con L-tiroxina. Qualora si decida di intervenire durante la gravidanza, è opportuno che l’intervento venga eseguito nel secondo trimestre.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Bibliografia

  1. Davies L, Welch HG 2006 Increasing incidence of thyroid cancer in the United States, 1973–2002. JAMA 29: 2164–2167.

    Article  Google Scholar 

  2. O’Connell TB, O’Doherty MJ 2000 Differentiated thyroid cancer and pregnancy. Nucl Med Commun 21: 127–128.

    Article  PubMed  Google Scholar 

  3. Yasmeen S, Cress R, Romano PS, et al 2005 Thyroid cancer in pregnancy. Int J Gynaecol Obstet 91: 15–20.

    Article  PubMed  CAS  Google Scholar 

  4. McDougall R 1992 Management of thyroid nodules. Thyroid disease in clinical practice. New York: Oxford University Press.

    Book  Google Scholar 

  5. Akslen LA, Nilssen S, Kvale G 1992 Reproductive factors and risk of thyroid cancer. A prospective study of 63, 090 women from Norway. Br J Cancer 65: 772–774.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  6. Franceschi S, Boyle P, Maisonneuve P, et al 1993 The epidemiology of thyroid carcinoma. Crit Rev Oncog 4: 25–52.

    PubMed  CAS  Google Scholar 

  7. Galanti MR, Lambe M, Ekbom A, Sparen P, Pettersson B 1995 Parity and risk of thyroid cancer: a nested case-control study of a nationwide Swedish cohort. Cancer Causes Control 6: 37–44.

    Article  PubMed  CAS  Google Scholar 

  8. Donegan WL 1983 Cancer and pregnancy. CA Cancer J Clin 33: 194–214.

    Article  PubMed  CAS  Google Scholar 

  9. Rosen IB, Korman M, Walfish PG 1997 Thyroid nodular disease in pregnancy: current diagnosis and management. Clin Obstet Gynecol 40: 81–89.

    Article  PubMed  CAS  Google Scholar 

  10. Tan GH, Gharib H, Goellner JR, van Heerden JA, Bahn RS 1996 Management of thyroid nodules in pregnancy. Arch Intern Med 156: 2317–2320.

    Article  PubMed  CAS  Google Scholar 

  11. Cooper DS, Doherty GM, Haugen BR, et al 2009 Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer. Thyroid 19: 1167–1214.

    Article  PubMed  Google Scholar 

  12. Papini E, Negro R, Pinchera A, et al 2010 Thyroid nodule and differentiated thyroid cancer management in pregnancy. An Italian Association of Clinical Endocrinologists (AME) and Italian Thyroid Association (AIT) Joint Statement for Clinical Practice. J Endocrinol Invest 33: 579–586.

    Article  PubMed  CAS  Google Scholar 

  13. Abalovich M, Amino N, Barbour LA, et al 2007 Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 92 (8 Suppl): S1–S47.

    Article  PubMed  CAS  Google Scholar 

  14. Stagnaro-Green A, Abalovich M, Alexander E, et al 2011 Guidelines of the American Thyroid Association for the diagnosis and management of thyroid disease during pregnancy and postpartum. Thyroid 21: 1081–1125.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Miller B, Miller B, Burkey S, Lindberg G, Snyder III WH, Nwariaku FE 2004 Prevalence of malignancy within cytologically indeterminate thyroid nodules. Am J Surg 188: 459–462.

    Article  PubMed  Google Scholar 

  16. Rago T, Fiore E, Scutari M, et al 2010 Male sex, single nodularity, and young age are associated with the risk of finding a papillary thyroid cancer on fine-needle aspiration cytology in a large series of patients with nodular thyroid disease. Eur J Endocrinol 162: 763–770.

    Article  PubMed  CAS  Google Scholar 

  17. Gemsenjägera E, Heitzb PU, Seifertc B, Martinad B, Schweizere I 2001 Differentiated thyroid carcinoma. Follow-up of 264 patients from one institution for up to 25 years. Swiss Med Wkly 131: 157–163.

    Google Scholar 

  18. Hay ID 1999 Nodular thyroid disease diagnosed during pregnancy: how and when to treat. Thyroid 9: 667–670.

    Article  PubMed  CAS  Google Scholar 

  19. Choe W, McDougall IR 1994 Thyroid cancer in pregnant women: diagnostic and therapeutic management. Thyroid 4: 433–435.

    Article  PubMed  CAS  Google Scholar 

  20. De Groot L, Abalovich M, Alexander EK, et al 2012 Management of thyroid dysfunction during pregnancy and postpartum: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 97: 2543–2565.

    Article  PubMed  CAS  Google Scholar 

  21. Moosa M, Mazzaferri EL 1997 Outcome of differentiated thyroid cancer diagnosed in pregnant women. J Clin Endocrinol Metab 82: 2862–2866.

    Article  PubMed  CAS  Google Scholar 

  22. Vannucchi G, Perrino M, Rossi S, et al 2010 Clinical and molecular features of differentiated thyroid cancer diagnosed during pregnancy. Eur J Endocrinol 162: 145–151.

    Article  PubMed  CAS  Google Scholar 

  23. Jaklic BR, Rushin J, Ghosh BC 1995 Estrogen and progesterone receptors in thyroid lesions. Ann Surg Oncol 2: 429–434.

    Article  PubMed  CAS  Google Scholar 

  24. Gin T, Gregory MA, Chan K, Oh TE 1990 Maternal and fetal levels of propofol at caesarean section. Anaesth Intensive Care 18: 180–184.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. U.O. di Endocrinologia 1, Dipartimento di Medicina Clinica e Sperimentale, Università degli Studi di Pisa, Via Paradisa 2, 56124, Pisa, Italia

    Laura Agate, Loredana Lorusso, Eleonora Molinaro & Rossella Elisei

Authors
  1. Laura Agate
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Loredana Lorusso
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Eleonora Molinaro
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rossella Elisei
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Laura Agate.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Agate, L., Lorusso, L., Molinaro, E. et al. Carcinoma tiroideo e gravidanza. L’Endocrinologo 14, 141–147 (2013). https://doi.org/10.1007/BF03346078

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03346078

Search

Navigation