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- W2103168053 abstract "La conducta a seguir con el nódulo tiroideo y el cáncer de tiroides en la paciente embarazada requiere especiales consideraciones. El abordaje diagnóstico y terapéutico del nódulo tiroideo se rige por los criterios habituales en las pacientes no embarazadas. Por su parte, el manejo del cáncer diferenciado de tiroides durante la gestación implica una serie de retos para la madre y el feto. Los datos disponibles muestran que el embarazo no supone un aumento de riesgo de aparición o recurrencia de cáncer de tiroides, pero no está completamente descartado que la gestación pueda representar un estímulo en pacientes con enfermedad activa. Es importante tener en cuenta que en caso de ser necesario el tratamiento quirúrgico se recomienda llevarlo a cabo durante el segundo trimestre o, preferentemente, tras el parto. La mayoría de las gestantes con enfermedad de bajo riesgo solo requieren el ajuste del tratamiento con levotiroxina. Sin embargo, en mujeres que tienen valores elevados de tiroglobulina antes de la gestación o con datos morfológicos de persistencia de enfermedad deberá realizarse un seguimiento periódico mediante la determinación de tiroglobulina y realización de ecografías cervicales. La gestación supone una contraindicación absoluta para la administración de 131I. Special considerations are warranted in management of thyroid nodule and thyroid cancer during pregnancy. The diagnostic and therapeutic approach of thyroid nodules follows the standard practice in non-pregnant women. On the other hand, differentiated thyroid cancer management during pregnancy poses a number of challenges for the mother and fetus. The available data show that pregnancy is not a risk factor for thyroid cancer development or recurrence, although flare-ups cannot be completely ruled out in women with active disease. If surgery is needed, it should be performed during the second term or, preferably, after delivery. A majority of pregnant patients with low-risk disease only need adjustment in levothyroxine therapy. However, women with increased serum thyroglobulin levels before pregnancy or structural disease require regular thyroglobulin measurements and neck ultrasound throughout pregnancy. Pregnancy is an absolute contraindication for radioactive iodine administration." @default.
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- W2103168053 date "2014-03-01" @default.
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- W2103168053 title "Guía clínica para el manejo del nódulo tiroideo y cáncer de tiroides durante el embarazo" @default.
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- W2103168053 doi "https://doi.org/10.1016/j.endonu.2013.08.003" @default.
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