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Optimal timing of surgery in well-differentiated thyroid carcinoma detected during pregnancy

Authors
 Kee-Hyun Nam  ;  Jong Ho Yoon  ;  Hang-Seok Chang  ;  Cheong Soo Park 
Citation
 JOURNAL OF SURGICAL ONCOLOGY, Vol.91(3) : 199-203, 2005 
Journal Title
JOURNAL OF SURGICAL ONCOLOGY
ISSN
 0022-4790 
Issue Date
2005
MeSH
Adolescent ; Adult ; Decision Making* ; Delivery, Obstetric ; Female ; Fetal Death/prevention & control ; Humans ; Middle Aged ; Neck Dissection* ; Pregnancy ; Pregnancy Complications, Neoplastic/pathology ; Pregnancy Complications, Neoplastic/surgery* ; Pregnancy Outcome ; Retrospective Studies ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery* ; Thyroidectomy* ; Time Factors ; Treatment Outcome
Keywords
well‐differentiated thyroid carcinoma ; pregnancy ; delivery ; timing of surgery
Abstract
BACKGROUND: To determine the optimal timing at which to perform surgery for well-differentiated thyroid carcinoma detected during pregnancy. OBJECTIVES: We retrospectively analyzed 20 cases of women diagnosed during pregnancy with well-differentiated thyroid carcinoma between July 1991 and June 2004, all of whom underwent surgery. The patients were divided into three groups according to the timing of surgery. Group I (n = 9) had thyroidectomy after delivery, Group II (n = 6) had thyroidectomy during the second trimester, and Group III (n = 5) had thyroidectomy after abortion. Group III was excluded from the study because we were interested in determining the optimal timing of surgery in pregnant women. RESULTS: No significant differences were noted between Groups I and II with regard to patient age, tumor size, TNM stage, and the timing of diagnosis. There were no TNM stage changes in Group I, although there was a slight increase in tumor size during pregnancy in this group. Surgical outcome, with regard to type of operation, operation time, perioperative complications, length of hospital stay, and treatment outcome, did not differ significantly between Groups I and II. CONCLUSIONS: In most patients, surgery on well-differentiated thyroid carcinoma detected during pregnancy can be delayed until after delivery.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/jso.20327/abstract
DOI
10.1002/jso.20327
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Park, Cheong Soo(박정수)
Yoon, Jong Ho(윤종호)
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151426
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