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[Pheochromocytoma in pregnancy].

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  • Additional Information
    • Transliterated Title:
      Guz chromochłonny w ciąży.
    • Source:
      Publisher: Medical Science International Country of Publication: Poland NLM ID: 101206517 Publication Model: Electronic Cited Medium: Internet ISSN: 1732-2693 (Electronic) Linking ISSN: 00325449 NLM ISO Abbreviation: Postepy Hig Med Dosw (Online) Subsets: MEDLINE
    • Publication Information:
      Original Publication: [Warsaw, Poland] : Medical Science International, [2004]-
    • Subject Terms:
      Adrenal Gland Neoplasms/*diagnosis ; Adrenal Gland Neoplasms/*therapy ; Pheochromocytoma/*diagnosis ; Pheochromocytoma/*therapy ; Pregnancy Complications, Neoplastic/*diagnosis ; Pregnancy Complications, Neoplastic/*therapy; Adrenalectomy ; Adrenergic alpha-Antagonists/therapeutic use ; Female ; Humans ; Magnetic Resonance Imaging ; Pregnancy
    • Abstract:
      Pheochromocytoma occurs with a frequency estimated at 2-7 per 100,000 pregnant women. Unrecognized, and thus untreated pheochromocytoma is associated with very high (40-50%) maternal and fetal mortality. Pheochromocytoma occurs sporadically or as a family trait. Its presence should be suspected in women with paroxysmal or established hypertension, especially before the 20th week of pregnancy, accompanied by headaches and palpitations, and excessive sweating, muscle tremors, vomiting, anxiety, vasomotor disturbances and blurred vision. The variety of clinical presentations and rarity are the cause of not including the disease in differential diagnosis of hypertension in pregnancy. Biochemical tests are essential in the diagnosis of pheochromocytoma, and involving the assessment of methoxycatecholamine urinary excretion. The second step in the diagnostics is magnetic resonance imaging of adrenal glands. Adrenalectomy is the treatment of choice for pheochromocytoma with adrenal location, which depends on the timing of the tumor diagnosis. Conservative treatment for 10-14 days with pharmacological blockade of alpha-adrenergic receptors should precede the surgery. Early diagnosis and properly planned treatment of pheochromocytoma significantly reduces the risk to the mother and fetus.
    • Accession Number:
      0 (Adrenergic alpha-Antagonists)
    • Publication Date:
      Date Created: 20140618 Date Completed: 20150325 Latest Revision: 20191112
    • Publication Date:
      20250114
    • Accession Number:
      10.5604/17322693.1108325
    • Accession Number:
      24934533