1. Pregnancy and thyroid cancer
11.1
Diagnosis of thyroid cancer in pregnancy
The management of thyroid cancer diagnosed during pregnancy requires careful consideration of risks to
mother and foetus. However thyroid cancer discovered during pregnancy does not behave more
aggressively than that diagnosed in a similar aged group of non-pregnant women. Women of
childbearing age with thyroid cancer generally have a good prognosis, similar to that in non-pregnant
women190. Discussion of the case by the MDT, as well as counselling of the couple, are imperative (IV,
C).
Surgery is indicated, but evidence regarding the optimum timing is unclear. Thyroidectomy in the first
trimester of pregnancy carries a high risk of abortion, but may be performed safely in the 2nd trimester.
Alternatively surgery can be deferred until after delivery, provided that the tumour is monitored regularly
(eg by ultrasound) and found to be reasonably stable. In cases of advanced or aggressive disease delays in
treatment would be undesirable, and termination of pregnancy may (rarely) need to be considered.
131
I ablation or therapy must be avoided in pregnancy. Suppressive thyroxine therapy is safe during
pregnancy.
i. A thyroid nodule presenting during pregnancy should be investigated by FNAC (IV, C).
ii. Radioiodine scans are contraindicated in pregnancy and breast-feeding (IV, C).
iii. If thyroid cancer is diagnosed or suspected, the following options should be considered (IV, C):
• Defer thyroidectomy, 131I studies and treatment until the post-partum period
• Perform a thyroidectomy during the 2nd trimester of pregnancy, to be followed by suppressive
doses of levothyroxine, but defer the 131I studies until the post-partum period
• Termination of pregnancy followed by thyroidectomy and 131I studies and treatment (this option
is very rarely necessary).

сочувствую, тяжело, когда не можешь помочь близкому человеку, т.к. от тебя мало что зависит.
в борьбе за свое здоровье с врачами я его и оставила, говорили врачи: "тебе бы забеременеть вообще , не то что выносить и родить ", а со своим врачом, о кот писала выше, всю Б как на крыльях и без осложнений, она- иммунолог. врачи разные, нам врач по тел. сказала (когда родственник попал в аварию) жить будет, не переживайте, мы и не помчались сломя голову, а ночью человека не стало, врачи не заметили сильную травму головы или не предали ей значения.