Medical College of Wisconsin
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Surgical treatment of adrenal tumors during pregnancy. Rev Endocr Metab Disord 2023 Feb;24(1):107-120

Date

07/02/2022

Pubmed ID

35776233

Pubmed Central ID

PMC9247901

DOI

10.1007/s11154-022-09744-7

Scopus ID

2-s2.0-85133252349 (requires institutional sign-in at Scopus site)

Abstract

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.

Author List

Bartz-Kurycki MA, Dream S, Wang TS

Authors

Sophie Y. Dream MD Assistant Professor in the Surgery department at Medical College of Wisconsin
Tracy S. Wang MD, MPH Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adrenal Gland Neoplasms
Adrenalectomy
Female
Hormones
Humans
Hypertension
Pheochromocytoma
Pregnancy