Advanced Thyroid Follicular Carcinoma in a Pregnant Woman. (28th December 2019)

• Record Type: Journal Article
• Authors: Pinheiro, Victor Rocha; Miamoto, Bruno Minoru; Rocha, Júlia Thalita Queiróz; Soares, Carlos Segundo Paiva; Tagliarini, José Vicente; de Araujo Costa, Roberto Antônio; da Silva Mazeto, Glaucia Maria F.; Marques, Mariangela Esther Alencar; Oliveira, Cristiano Claudino
• Other Names: Pich Achille Academic Editor.
• Is Part Of: Case reports in pathology. Volume 2019(2019)
• Publication Date: 2019-12-28
• Subjects: Pathology -- Periodicals; Pathology; Pathology; Electronic journals; Periodicals; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 616.07
• DOI: 10.1155/2019/3064624
• Languages: English
• ISSNs: 2090-6781

Abstract

Abstract : 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.