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Thyroid Nodules in Pregnancy May Have Higher Malignancy Rate

By Mary Shomon, About.com

Updated: January 15, 2009

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Research presented at the Ninth Annual Meeting and Clinical Congress of the American Association of Clinical Endocrinologists in 2000 reported that thyroid nodules in pregnant women have a greater chance of being malignant than nodules in non-pregnant patients.

The researchers found that in a series of studies, pregnant patients with thyroid nodules had a thyroid cancer rate of approximately 27%. About 5% of thyroid nodules are typically cancerous in the population overall.

The researchers speculated that pregnancy may promote thyroid nodule formation in general, or pregnancy may speed up the growth of previously cancerous nodules.

The researchers indicated that fine-needle aspiration is the optimal diagnostic method for nodules during pregnancy, and if surgery is required, it should be delayed until the second trimester or shortly after delivery.

Source:

Burch, Dr. Henry B. Presentation, American Association of Clinical Endocrinologists' Ninth Annual Meeting and Clinical Congress, 2000

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