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Papillary Thyroid Carcinoma and Pregnancy: What Impact on Prognosis?

Papillary Thyroid Carcinoma and Pregnancy: What Impact on Prognosis?
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摘要 Introduction: The impact of pregnancy on the prognosis of papillary thyroid carcinoma (PTC) has been debated for several decades;however, no definitive conclusions have been reached. The main objective of this study is to demonstrate the short-term influence of pregnancy on the evolution and prognosis of PTC. Materials and Methods: A prospective descriptive and analytical study was conducted in the Endocrinology and Diabetology Department at the Hassan II University Hospital in Fez, including patients followed for papillary thyroid carcinoma presenting with a pregnancy during the year 2019 and 2020. The follow-up of these patients was continued until 1 year postpartum. We studied the clinical, paraclinical and therapeutic factors that could influence the prognosis of the disease. Results: We included 26 patients. Our study showed a significant correlation between recurrence and the presence of unfavorable histological signs (p = 0.02) as well as the initial Tg level (0.01). However, pregnancy was not an influencing factor (p = 0.41). Conclusion: Pregnancy does not seem to be a factor aggravating the prognosis of differentiated thyroid cancers. Introduction: The impact of pregnancy on the prognosis of papillary thyroid carcinoma (PTC) has been debated for several decades;however, no definitive conclusions have been reached. The main objective of this study is to demonstrate the short-term influence of pregnancy on the evolution and prognosis of PTC. Materials and Methods: A prospective descriptive and analytical study was conducted in the Endocrinology and Diabetology Department at the Hassan II University Hospital in Fez, including patients followed for papillary thyroid carcinoma presenting with a pregnancy during the year 2019 and 2020. The follow-up of these patients was continued until 1 year postpartum. We studied the clinical, paraclinical and therapeutic factors that could influence the prognosis of the disease. Results: We included 26 patients. Our study showed a significant correlation between recurrence and the presence of unfavorable histological signs (p = 0.02) as well as the initial Tg level (0.01). However, pregnancy was not an influencing factor (p = 0.41). Conclusion: Pregnancy does not seem to be a factor aggravating the prognosis of differentiated thyroid cancers.
作者 Loubna Saadaoui Fatima Zahra Lahmamssi Hayat Aynaou Houda Salhi Nadia Alaoui Ismaili Hanan El Ouahabi Loubna Saadaoui;Fatima Zahra Lahmamssi;Hayat Aynaou;Houda Salhi;Nadia Alaoui Ismaili;Hanan El Ouahabi(Department of Endocrinology, Diabetology and Nutrition, Hassan II University Hospital, Fez, Morocco;Faculty of Medicine and Pharmacy of Fez, Sidi Mohamed Ben Abdullah University, Fez, Morocco;Laboratory of Epidemiology and Research in Health Sciences, Fez, Morocco;Nuclear Medicine Department, Hassan II University Hospital, Fez, Morocco)
出处 《Case Reports in Clinical Medicine》 2023年第1期22-29,共8页 临床医学病理报告(英文)
关键词 Papillary Thyroid Carcinoma Well Differentiated PREGNANCY RECURRENCE Prognostic Factors Papillary Thyroid Carcinoma Well Differentiated Pregnancy Recurrence Prognostic Factors
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