Management of pregnancy and the possibility of normal delivery in pregnant women with thyroid cancer in Armenia

Thyroid disorders are common in Armenia, and especially so in women of reproductive age group. This review aimed to identify the maternal and fetal implications during thyroid cancer and management this situation in low- and middle-income countries, such as Armenia. Materials: The material of this study was a review of literature data from the following databases: PubMed, Web of Science and Scopus without time limits. The keywords for the search were the following terms: thyroid cancer, risk factors, incidence and outcomes, as well as a combination of these terms. The study included case and follow up of a pregnancy woman with thyroid cancer undergo partial thyroidectomy, registered at the Erebouni Medical Center during last year. Results: Based on international clinical guidelines and our experience, we have developed an algorithm for managing pregnancy with a history of thyroid cancer. Conclusion: The results of this study indicated that thyroid cancer in pregnancy is an uncommon phenomenon but one which poses dilemmas for patients and their physicians. A multi-disciplinary approach is recommended for optimal clinical-decision making.