Thyroid papillary cancer-related pregnancy: a case report

Differentiated thyroid cancer is the second-most frequent tumor among those tumors diagnosed during pregnancy after breast cancer; it also is the most common endocrine malignancy. Pregnancy-associated cancer was defined as a malignancy detected during pregnancy or within 2 years of delivery, but most of the patients with pregnancy-associated cancer were recognized in the postpartum period. The best time for surgery is unclear. Its management is a challenge for both doctors and patients. Enlargement of the thyroid gland in pregnancy is usually a physiological change related to pregnancy, but even if it is rare, it can be due to thyroid malignancy. We report a case of 31-year-old female diagnosed with thyroid papillary cancer during pregnancy with no symptoms except for a lump on her neck. For this reason, the examination of the thyroid gland and the examination of neck lymph nodes should be routinely performed on all pregnant women.WOS:00041092020000

Factors Determining Parental Attitudes Towards Termination of Pregnancy in Prenatally Detected Down Syndrome

OBJECTIVE: The aims of this study are to explore the rate of termination of pregnancy for Down syndrome in Turkey and to investigate demographic characteristics of the parents that may influence the parents' decision. STUDY DESIGN: The study was conducted in Erciyes University, Department of Obstetrics and Gynecology, Prenatal Diagnosis Unite between 2009-2011. The data of 58 fetuses prenatally diagnosed as Down syndrome were analyzed retrospectively. The effects of socio- demographic features, obstetric history and educational level on termination of pregnancy for Down syndrome were compared retrospectively. RESULTS: The mean maternal age was 33.3±7.2 years. There were no statistically significant correlation between the termination rate and any of the socio- demographic features. In case of reproductive history, the termination rate was significantly higher in women who had at least one living child than women who had no child. Contrary to our expectations, termination rate was higher in patients from rural area than in patients from urban center (p <0.05). CONCLUSION: Majority of parents choose to terminate pregnancy when the fetus diagnosed as Down syndrome. Our findings indicate that if parents have reasonable understanding of raising a child, they are most likely to terminate their pregnancy in the case of Down syndrome