Advanced Thyroid Follicular Carcinoma in a Pregnant Woman
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1155/2019/3064624 http://hdl.handle.net/11449/196471 |
Resumo: | The diagnostic and therapeutic approach for pregnant women with thyroid nodules can present a challenge, especially concerning surgical procedures. In the context of malignant diagnosis, by fine needle aspiration (FNA), during pregnancy, the uncertainty lies in performing surgery. This article reports the case of a 41-year-old pregnant woman in her first gestation, who sought medical care complaining of right shoulder pain. Imaging workup depicted the destruction of the humeral head and involvement of the surrounding soft tissue. She was 20 weeks pregnant. The histological report favored the diagnosis of malignancy and the thyroid as the primary site. At 30 weeks of gestation, the patient underwent a cesarean section, a total thyroidectomy, and total resection of the metastasis. The child was born healthy, but one year after the diagnosis, the patient died. Bone and soft tissue metastasis of thyroid neoplasms are not very common and indicate poor prognosis. |
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Advanced Thyroid Follicular Carcinoma in a Pregnant WomanThe diagnostic and therapeutic approach for pregnant women with thyroid nodules can present a challenge, especially concerning surgical procedures. In the context of malignant diagnosis, by fine needle aspiration (FNA), during pregnancy, the uncertainty lies in performing surgery. This article reports the case of a 41-year-old pregnant woman in her first gestation, who sought medical care complaining of right shoulder pain. Imaging workup depicted the destruction of the humeral head and involvement of the surrounding soft tissue. She was 20 weeks pregnant. The histological report favored the diagnosis of malignancy and the thyroid as the primary site. At 30 weeks of gestation, the patient underwent a cesarean section, a total thyroidectomy, and total resection of the metastasis. The child was born healthy, but one year after the diagnosis, the patient died. Bone and soft tissue metastasis of thyroid neoplasms are not very common and indicate poor prognosis.Sao Paulo State Univ FMB UNESP, Botucatu Sch Med, Med, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Ophthalmol Otorhinolaryngol & Head & Neck Su, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Obstetrician & Gynecol, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Internal Med, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Pathol, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Pathol, Sao Paulo, BrazilSao Luiz DOr Hosp, Sao Paulo, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Med, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Ophthalmol Otorhinolaryngol & Head & Neck Su, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Obstetrician & Gynecol, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Internal Med, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Pathol, Botucatu, SP, BrazilSao Paulo State Univ FMB UNESP, Botucatu Sch Med, Dept Pathol, Sao Paulo, BrazilHindawi LtdUniversidade Estadual Paulista (Unesp)Sao Luiz DOr HospPinheiro, Victor Rocha [UNESP]Miamoto, Bruno Minoru [UNESP]Queiroz Rocha, Julia Thalita [UNESP]Paiva Soares, Carlos Segundo [UNESP]Tagliarini, Jose Vicente [UNESP]Araujo Costa, Roberto Antonio de [UNESP]Silva Mazeto, Glaucia Maria F. da [UNESP]Alencar Marques, Mariangela Esther [UNESP]Oliveira, Cristiano Claudino [UNESP]2020-12-10T19:46:03Z2020-12-10T19:46:03Z2019-12-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article5http://dx.doi.org/10.1155/2019/3064624Case Reports In Pathology. London: Hindawi Ltd, v. 2019, 5 p., 2019.2090-6781http://hdl.handle.net/11449/19647110.1155/2019/3064624WOS:000506002500001Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengCase Reports In Pathologyinfo:eu-repo/semantics/openAccess2021-10-23T06:44:47Zoai:repositorio.unesp.br:11449/196471Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T06:44:47Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Advanced Thyroid Follicular Carcinoma in a Pregnant Woman |
title |
Advanced Thyroid Follicular Carcinoma in a Pregnant Woman |
spellingShingle |
Advanced Thyroid Follicular Carcinoma in a Pregnant Woman Pinheiro, Victor Rocha [UNESP] |
title_short |
Advanced Thyroid Follicular Carcinoma in a Pregnant Woman |
title_full |
Advanced Thyroid Follicular Carcinoma in a Pregnant Woman |
title_fullStr |
Advanced Thyroid Follicular Carcinoma in a Pregnant Woman |
title_full_unstemmed |
Advanced Thyroid Follicular Carcinoma in a Pregnant Woman |
title_sort |
Advanced Thyroid Follicular Carcinoma in a Pregnant Woman |
author |
Pinheiro, Victor Rocha [UNESP] |
author_facet |
Pinheiro, Victor Rocha [UNESP] Miamoto, Bruno Minoru [UNESP] Queiroz Rocha, Julia Thalita [UNESP] Paiva Soares, Carlos Segundo [UNESP] Tagliarini, Jose Vicente [UNESP] Araujo Costa, Roberto Antonio de [UNESP] Silva Mazeto, Glaucia Maria F. da [UNESP] Alencar Marques, Mariangela Esther [UNESP] Oliveira, Cristiano Claudino [UNESP] |
author_role |
author |
author2 |
Miamoto, Bruno Minoru [UNESP] Queiroz Rocha, Julia Thalita [UNESP] Paiva Soares, Carlos Segundo [UNESP] Tagliarini, Jose Vicente [UNESP] Araujo Costa, Roberto Antonio de [UNESP] Silva Mazeto, Glaucia Maria F. da [UNESP] Alencar Marques, Mariangela Esther [UNESP] Oliveira, Cristiano Claudino [UNESP] |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Sao Luiz DOr Hosp |
dc.contributor.author.fl_str_mv |
Pinheiro, Victor Rocha [UNESP] Miamoto, Bruno Minoru [UNESP] Queiroz Rocha, Julia Thalita [UNESP] Paiva Soares, Carlos Segundo [UNESP] Tagliarini, Jose Vicente [UNESP] Araujo Costa, Roberto Antonio de [UNESP] Silva Mazeto, Glaucia Maria F. da [UNESP] Alencar Marques, Mariangela Esther [UNESP] Oliveira, Cristiano Claudino [UNESP] |
description |
The diagnostic and therapeutic approach for pregnant women with thyroid nodules can present a challenge, especially concerning surgical procedures. In the context of malignant diagnosis, by fine needle aspiration (FNA), during pregnancy, the uncertainty lies in performing surgery. This article reports the case of a 41-year-old pregnant woman in her first gestation, who sought medical care complaining of right shoulder pain. Imaging workup depicted the destruction of the humeral head and involvement of the surrounding soft tissue. She was 20 weeks pregnant. The histological report favored the diagnosis of malignancy and the thyroid as the primary site. At 30 weeks of gestation, the patient underwent a cesarean section, a total thyroidectomy, and total resection of the metastasis. The child was born healthy, but one year after the diagnosis, the patient died. Bone and soft tissue metastasis of thyroid neoplasms are not very common and indicate poor prognosis. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-28 2020-12-10T19:46:03Z 2020-12-10T19:46:03Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1155/2019/3064624 Case Reports In Pathology. London: Hindawi Ltd, v. 2019, 5 p., 2019. 2090-6781 http://hdl.handle.net/11449/196471 10.1155/2019/3064624 WOS:000506002500001 |
url |
http://dx.doi.org/10.1155/2019/3064624 http://hdl.handle.net/11449/196471 |
identifier_str_mv |
Case Reports In Pathology. London: Hindawi Ltd, v. 2019, 5 p., 2019. 2090-6781 10.1155/2019/3064624 WOS:000506002500001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Case Reports In Pathology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
5 |
dc.publisher.none.fl_str_mv |
Hindawi Ltd |
publisher.none.fl_str_mv |
Hindawi Ltd |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1803046982467452928 |