Thyroid nodules and cancer during pregnancy, post-partum and preconception planning: Addressing the uncertainties and challenges

Best Pract Res Clin Endocrinol Metab. 2020 Jul;34(4):101363. doi: 10.1016/j.beem.2019.101363. Epub 2019 Nov 22.

Abstract

Thyroid nodules and thyroid cancer have become increasingly common worldwide. When discovered during pregnancy, they pose unique diagnostic and therapeutic challenges for both the treating physician and the patient. The benefits of treatment should be carefully weighed against risks that may adversely impact maternal and fetal health. In this review, we present current knowledge and controversies surrounding the management of thyroid nodules and thyroid cancer in pregnancy, in the post-partum period and during preconception planning.

Keywords: preconception planning; pregnancy; thyroid cancer; thyroid nodules.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Female
  • Humans
  • Postnatal Care / methods*
  • Postnatal Care / standards
  • Postpartum Period / physiology
  • Preconception Care / methods*
  • Preconception Care / standards
  • Pregnancy
  • Pregnancy Complications, Neoplastic / diagnosis
  • Pregnancy Complications, Neoplastic / therapy*
  • Prenatal Care / methods*
  • Prenatal Care / standards
  • Thyroid Neoplasms / diagnosis
  • Thyroid Neoplasms / therapy*
  • Thyroid Nodule / diagnosis
  • Thyroid Nodule / therapy*