Evidence map›Paper›PMID 42634838›Full record

ArticleJournal of the Endocrine Society2026

Incidentally detected papillary thyroid carcinoma does not impair pregnancy outcomes during fertility treatment.

Ayako Hoshiyama, Haruhiko Yamazaki, Jaeduk Yoshimura Noh, Natsuko Watanabe, Nami Suzuki, Miho Fukushita, Masako Matsumoto, Ai Yoshihara, Kenichi Matsuzu, Kiminori Sugino and 1 more

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ayako HoshiyamaDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0009-0001-4999-7484
Haruhiko YamazakiDepartment of Surgery, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0002-6640-3529
Jaeduk Yoshimura NohDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0001-7340-8603
Natsuko WatanabeDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0003-2297-5004
Nami SuzukiDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0003-2877-6647
Miho FukushitaDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0001-6815-5891
Masako MatsumotoDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0009-0000-7265-6787
Ai YoshiharaDepartment of Internal Medicine, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0003-1323-4722
Kenichi MatsuzuDepartment of Surgery, Ito Hospital, Tokyo 150-8308, Japan.
Kiminori SuginoDepartment of Surgery, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0002-9692-9871
Koichi ItoDepartment of Surgery, Ito Hospital, Tokyo 150-8308, Japan.ORCID https://orcid.org/0000-0002-2341-3620

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Papillary thyroid carcinoma (PTC) is more common among women, including those of reproductive age. While a cancer diagnosis may influence pregnancy planning and treatment decisions in women receiving fertility treatment, the impact of PTC management on pregnancy outcomes remains unclear. We aimed to evaluate the clinical course of PTC diagnosed during fertility treatment and to clarify whether pregnancy outcomes differ according to the initial management strategy, surveillance or surgery. Methods: We retrospectively analyzed reproductive-age women diagnosed cytologically with PTC prior to pregnancy, who were referred to Ito Hospital for thyroid evaluation between January 2013 and December 2019, during fertility treatment. PTC cases were classified according to the Japanese Thyroid Tumor Treatment Guidelines 2018. Patients were followed for clinical course and pregnancy outcomes through December 2024. Results: Among 17 713 women undergoing fertility evaluation, 240 were diagnosed with PTC. Median age was 38 years, and most cases were classified as very low-risk (59.6%), followed by low-risk (27.1%) and intermediate risk (13.3%), with no high-risk cases. Among 96 surveillance patients followed for ≥12 months, disease progression occurred in 8 patients (8.3%), including 1 case during pregnancy. Patients who achieved live birth were significantly younger than those who did not ( Conclusion: Both surveillance and surgery can be safely integrated into fertility care for women with reproductive-age PTC. Tumor progression was rare and pregnancy outcomes were primarily influenced by maternal age rather than treatment strategy.

Indexed as

fertility treatmentpapillary thyroid carcinomapregnancy outcomessurveillance

Identifiers

PMID42634838
PMCPMC13500194

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.