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Surgical treatment of adrenal tumors during pregnancy

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 t...

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Autores principales: Bartz-Kurycki, Marisa A., Dream, Sophie, Wang, Tracy S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247901/
https://www.ncbi.nlm.nih.gov/pubmed/35776233
http://dx.doi.org/10.1007/s11154-022-09744-7
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author Bartz-Kurycki, Marisa A.
Dream, Sophie
Wang, Tracy S.
author_facet Bartz-Kurycki, Marisa A.
Dream, Sophie
Wang, Tracy S.
author_sort Bartz-Kurycki, Marisa A.
collection PubMed
description 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.
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spelling pubmed-92479012022-07-01 Surgical treatment of adrenal tumors during pregnancy Bartz-Kurycki, Marisa A. Dream, Sophie Wang, Tracy S. Rev Endocr Metab Disord Article 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. Springer US 2022-07-01 2023 /pmc/articles/PMC9247901/ /pubmed/35776233 http://dx.doi.org/10.1007/s11154-022-09744-7 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Bartz-Kurycki, Marisa A.
Dream, Sophie
Wang, Tracy S.
Surgical treatment of adrenal tumors during pregnancy
title Surgical treatment of adrenal tumors during pregnancy
title_full Surgical treatment of adrenal tumors during pregnancy
title_fullStr Surgical treatment of adrenal tumors during pregnancy
title_full_unstemmed Surgical treatment of adrenal tumors during pregnancy
title_short Surgical treatment of adrenal tumors during pregnancy
title_sort surgical treatment of adrenal tumors during pregnancy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9247901/
https://www.ncbi.nlm.nih.gov/pubmed/35776233
http://dx.doi.org/10.1007/s11154-022-09744-7
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