Surgical treatment of adrenal tumors during pregnancy

被引:4
作者
Bartz-Kurycki, Marisa A. [1 ]
Dream, Sophie [1 ]
Wang, Tracy S. [1 ]
机构
[1] Med Coll Wisconsin, Dept Surg, 8700 W Wisconsin Ave, Milwaukee, WI 53226 USA
关键词
Adrenalectomy; Pregnancy; Pheochromocytoma; Adrenal tumors; POSTERIOR RETROPERITONEOSCOPIC ADRENALECTOMY; CLINICAL-PRACTICE GUIDELINE; PRIMARY ALDOSTERONISM; CUSHINGS-SYNDROME; LAPAROSCOPIC ADRENALECTOMY; EUROPEAN-SOCIETY; PERSONAL-EXPERIENCE; PHEOCHROMOCYTOMA; MANAGEMENT; DIAGNOSIS;
D O I
10.1007/s11154-022-09744-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
While most adrenal tumors are identified incidentally and are non-functional, hormone-secreting tumors can cause morbidity and mortality. Hemodynamic lability and hypertension in pregnancy are associated with worse maternal and fetal outcomes. Achieving a diagnosis of hormone excess due to adrenal tumors can be clinically more difficult in the gravid patient due to normal physiologic alterations in hormones and symptoms related to pregnancy. This review focuses on some nuances of the diagnostic work-up, perioperative care, and surgical management of adrenally-mediated cortisol excess, primary aldosteronism, and pheochromocytoma and paraganglioma in the pregnant patient.
引用
收藏
页码:107 / 120
页数:14
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