育龄女性甲状腺乳头状癌术后服用左旋甲状腺素与生育的研究进展
被引量:2
摘要
甲状腺癌是最常见的甲状腺恶性肿瘤,约占全身恶性肿瘤的1%,其中乳头状甲状腺癌(papillary thyroid carcinoma,PTC)占成人甲状腺癌的60%,多见于30—45岁的育龄妇女,其术后预后良好,但需终身服用甲状腺素(通常用LT4)行内分泌治疗,满足机体甲状腺激素需求的同时,亦能抑制肿瘤复发。本文结合美国甲状腺协会指南复习育龄女PTC术后,服用LT4对妊娠、胎儿的影响,及孕前和妊娠期剂量的控制。
出处
《中华内分泌外科杂志》
CAS
2013年第1期73-75,共3页
Chinese Journal of Endocrine Surgery
基金
上海市卫生局科研题目资助(2012029)
参考文献25
-
1Stagnaro-Green A, Abalovich M, Alexander E, et al. Guidelines of the american thyroid association for the diagnosis and management of thyroid disease during pregnancy and postpartum[J]. Thyroid ,2011,21 ( 10 ) : 1081-1125.
-
2Hallengren B, Lantz M, Andreasson B, et al. Pregnant women on thyroxine substitution are often dysregulated in early pregnancy [J]. Thyroid ,2009,19 (4) :391-394.
-
3Leboeuf R, Emerick LE, Martorella AJ, et al. Impact of pregnancy on serum thyroglobulin and detection of recurrent disease shortly after delivery in thyroid cancer survivors [ J ]. Thyroid, 2007,17 (6) :543-547.
-
4Rosario PW, Barroso AL, Purisch S. The effect of subsequent pregnancy on patients with thyroid carcinoma apparently free of the disease[J]. Thyroid ,2007,17 ( 11 ) : 1175-1176.
-
5Hirsch D, Levy S, Tsvetov G, et al. Impact of pregnancy on out- come and prognosis of survivors of papillary thyroid cancer [J]. Thyroid ,2010,20 ( 11 ) : 1179-1185.
-
6Biswal BM, Bal CS, Sandhu MS, et al. Management of intracranial metastases of differentiated carcinoma of thyroid [ J ]. J Neurooncol, 1994,22( 1 ) :77-81.
-
7Pomorski L, Bartos M, Narebski J. Pregnancy following operative and complementary treatment of thyroid cancer [ J ]. Zentralbl Gynakol,2000,122 (7) :383-386.
-
8李会政,唐平章,徐震纲,张彬.甲状腺全切除术对青少年生长发育的影响[J].中华耳鼻咽喉头颈外科杂志,2008,43(5):381-382. 被引量:4
-
9Glinoer D. Tyroid nodule and cancer in pregnant women [J]. Ann EndoerinoI paris, 1997,58 ( 3 ) :263-267.
-
10Negro R. Significance and management of low TSH in pregnancy. In:Lazarus J, Pirags V, Butz S(eds). The Thyroid and Reproduction [ M ]. Georg Thieme Verlag, New York, 2009 : pp 84-95.
二级参考文献7
-
1孙传政,陈福进,曾宗渊,宋明,李秋梨,杨安奎,张诠,魏茂文,伍国号.少年和青年分化型甲状腺癌的生存分析[J].中华耳鼻咽喉头颈外科杂志,2005,40(8):595-600. 被引量:27
-
2唐平章.呼唤甲状腺肿瘤治疗的规范化[J].中华耳鼻咽喉头颈外科杂志,2006,41(6):401-402. 被引量:8
-
3张睿,李辉.体格发育.胡亚美,诸福堂.实用儿科学.7版.北京:人民卫生出版社,2005:23-26.
-
4王慕逖.内分泌疾病.王慕逖.儿科学.5版.北京:人民卫生出版社,2002:422-450.
-
5Ringel MD, Levine MA. Current therapy for childhood thyroid cancer: optimal surgery and the legacy of king pyrrhus. Ann Surg Oncol,2003,10:4-6.
-
6Yuri E, Eugene P, Vladimir A, eds. Comprehensive Clinical Assessment of 740 Cases of Surgically Treated Thyroid Cancer in Children of Belarus. Lippincott Williams Wilkins, 2006, 243 : 525-532.
-
7黎海芪.生长发育.王慕逖.儿科学.5版.北京:人民卫生出版社,2002:8-24.
共引文献3
-
1林韬,黄恺,杨兴无,杨春明.青年甲状腺癌的外科治疗分析[J].中华内分泌外科杂志,2011,5(2):92-94. 被引量:1
-
2宋凡,易红良.女性甲状腺癌术后促甲状腺激素抑制治疗研究进展[J].中华耳鼻咽喉头颈外科杂志,2018,53(5):397-400. 被引量:13
-
3倪鑫,王生才,邰隽,张杰.儿童甲状腺结节及分化型甲状腺癌指南解读及进展回顾[J].中华耳鼻咽喉头颈外科杂志,2019,54(12):954-958. 被引量:3
同被引文献10
-
1Soldin OP, Tractenberg RE, Hollowe11 JG, et al. Trimester-spe- cific changes in maternal thyroid hormone, thyrotropin, and thyro- globulin concentrations during gestation: trends and associations across trimesters in iodine sufficiency [ J]. Thyroid, 2004, 14 (12) :1084-1090.
-
2Stagnaro-Green A, Abalovich M, Alexander E, et al. Guidelines of the American Thyroid Association for the diagnosis and manage- ment of thyroid disease during pregnancy and postpartum [ J ]. Thy- old, 2011,21 ( 10 ) : 1081-125.
-
3Hallengren B, Lantz M, Andreasson B. Pregnant women on thy- roxine substitution are often dysregulated in early pregnancy [ J ]. Thyroid, 2009,19 ( 4 ) : 391-394.
-
4Abalovich M, Amino N, Barbour LA, et al. Managementof thyroid dysfunction during pregnancy and postpartum:an Endocrine Society Clinical Practice Guideline[ J]. J Clin Endoerinol Metab,2007,92 (8 Suppl) :S1-47.
-
5Alexander EK, Marqusee E, Lawrence J, et al. Timing and magni- tude of increases in levothyroxine requirements during pregnancy in women with hypothyroidism [ J ]. N Engl J Med, 2004,351 ( 3 ) : 241-249.
-
6Loh JA, Wartofsky L, Jonklaas J, et al. The magnitude of in- creased levothyroxine requirements in hypothyroid pregnant women depends upon the etiology of the hypothyroidism [ J ]. Thyroid, 2009,19(3) :269-275.
-
7Rotondi M, Mazziotti G, Sorvillo F, et al. Effects of increased thyroxine dosage pre-eonception on thyroid function during early pregnancy[J]. Eur J Endocrinol,2004,151 (6) :695-700.
-
8Cooper DS, Doherty GM, Haugen BR, et al. Revised American Thyroid Association management guidelines for patients with thy- roid nodules and differentiated thyroid cancer[ J ]. Thyroid,2009, 19 : 1167-1214.
-
9周亮.分化型甲状腺癌术后131I治疗的研究.
-
10裴育,田慧.妊娠期间甲状腺疾病的诊断和处理[J].中华老年多器官疾病杂志,2013,12(2):111-115. 被引量:11
-
1骆有寿,吴超.超声显示甲状腺内钙化及甲状腺癌诊断的临床分析[J].医学影像学杂志,2013,23(4):610-611. 被引量:4
-
2孔祥顺.桥本病合并甲状腺恶性肿瘤13例临床分析[J].疑难病杂志,2007,6(9):556-556. 被引量:1
-
3孟良,张家新,房守军.桥本病合并甲状腺恶性肿瘤9例临床分析[J].山东医药,2005,45(33):47-47.
-
4陈奕明,冯顺庆,宋卫,宋智明.桥本氏病并发甲状腺恶性肿瘤11例临床分析[J].镇江医学院学报,1999,9(3):404-405.
-
5张霞.彩色多普勒超声在甲状腺结节诊断中的应用[J].中国伤残医学,2013,21(8):90-91. 被引量:4
-
6金冲,张启瑜.骨桥蛋白在乳头状甲状腺癌中的表达及其临床意义[J].浙江临床医学,2009,11(1):7-9. 被引量:2
-
7余倩,李小林,乔虹.半乳糖血凝素3在乳头状甲状腺癌中的研究进展[J].临床荟萃,2014,29(12):1435-1437. 被引量:3
-
8朱精强,李缨来,陈国经,李宏江,敬静,苏兰.桥本病合并甲状腺恶性肿瘤的诊治(附8例报告)[J].中国普外基础与临床杂志,2000,7(4):252-254. 被引量:7
-
9张顺霞,姜责,李淑霞,陆勤,吕杨.桥本甲状腺炎合并乳头状甲状腺癌的临床分析[J].宁夏医科大学学报,2015,37(10):1205-1207. 被引量:7
-
10孙俊英,徐雪根,沈晓明.甲状腺恶性肿瘤伴胰岛素自身免疫综合征一例[J].中国医师杂志,2014,16(2):286-287.