AI Article Synopsis
- Thyroid cancer (TC), particularly papillary thyroid cancer (PTC), predominantly affects women of reproductive age, but its impact on reproductive system pathologies is not well-studied.
- A study involving 116 PTC survivors revealed they have a higher risk of developing adenomyosis and endometrial hyperplasia compared to age-matched women without thyroid issues, with risk factors increasing over time, particularly after ten years post-surgery.
- Findings suggest that PTC survivors, especially those with low TSH levels within the first five years following thyroidectomy, should be monitored for these reproductive health issues.
Article Abstract
Purpose: Thyroid cancer (TC) is the most common endocrine cancer worldwide, affecting mainly women of reproductive age. However, no data exist about its association with endometrial or uterine disorders. This study aimed to assess the risk of hyperproliferative pathology of the reproductive system in female ТС survivors.
Methods: This was a cross-sectional study of female patients aged 20-45 years diagnosed with papillary TC (PTC) from 1994-2018. Age-matched females with normal thyroid structures served as controls.
Results: One hundred and sixteen patients (mean age 36.7±61 years) and 90 age-matched controls were included. PTC survivors demonstrated an increased risk for adenomyosis [odds ratio (OR) 2.5, 95% confidence interval (CI) 1.3-4.8] and endometrial hyperplasia (OR 3.9, 95% CI 1.1-14.3), compared with controls. The risk for adenomyosis was higher after the ten post-operative years (OR 5.3, 95% CI 2.29- 12.05) than during the first 5-10 years (OR 2.3, 95% CI 1.02-5.10) and increased with the number of RAI courses and the degree of TSH suppression. The risk of endometrial hyperplasia was most evident during the first five years post-thyroidectomy (OR 6.0, 95% CI 1.4-25.5), especially in patients with TSH <0.1 mU/L (OR 6.8, 95% CI 1.4-33.28) No difference in uterine leiomyomas or endometrial polyps was found between PTC survivors and controls.
Conclusions: Female PTC survivors are at increased risk of endometrial hyperplasia and adenomyosis compared with those with normal thyroid structures.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10261909 | PMC |
| http://dx.doi.org/10.7759/cureus.38989 | DOI Listing |
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