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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2022
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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. |
format | Online Article Text |
id | pubmed-9247901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT bartzkuryckimarisaa surgicaltreatmentofadrenaltumorsduringpregnancy AT dreamsophie surgicaltreatmentofadrenaltumorsduringpregnancy AT wangtracys surgicaltreatmentofadrenaltumorsduringpregnancy |