Document Detail

Conservative management of extra-adrenal pheochromocytoma during pregnancy.
MedLine Citation:
PMID:  15863575     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Extra-adrenal pheochromocytomas are catecholamine-secreting tumors that arise from chromaffin cells of the paraganglion sympathetic system. All of the previously reported cases have described surgical resection during the antepartum period. CASE: At 14 weeks of gestation, a multiparous patient was diagnosed with an extra-adrenal dopaminergic pheochromocytoma. A decision was made to delay surgical intervention until the postpartum period. Phenoxybenzamine, 10 mg per day, was subsequently started. At 35 + 2 weeks of gestation, the patient delivered a 2,600 g infant via an uncomplicated cesarean. Three weeks later, the extra-adrenal pheochromocytoma was removed, and she also underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, and rectosigmoid resection with end-to-end colostomy. CONCLUSION: Conservative management of dopaminergic-secreting extra-adrenal pheochromocytomas can result in favorable maternal and fetal outcomes.
Caela Miller; Victor Bernet; John C Elkas; Louis Dainty; Robert B Gherman
Related Documents :
11153525 - Fetal hypothalamus-pituitary-adrenal axis on the road to parturition.
7369865 - The role of the pituitary-ovarian axis in the termination of early pregnancy in rabbits...
15863575 - Conservative management of extra-adrenal pheochromocytoma during pregnancy.
1624095 - Prostaglandins and teleost neurohypophyseal hormones induce premature parturition in th...
17267845 - Management of obesity in pregnancy.
1605975 - Organ weight/bodyweight ratios: growth rates of fetal organs in the latter half of preg...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  105     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-02     Completed Date:  2005-06-30     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1185-8     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Division of Maternal/Fetal Medicine, National Naval Medical Center, Bethesda, Maryland 20889, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Adrenal Gland Neoplasms / diagnosis,  drug therapy*
Adrenalectomy / methods
Biopsy, Needle
Cesarean Section
Dose-Response Relationship, Drug
Drug Administration Schedule
Follow-Up Studies
Gestational Age
Phenoxybenzamine / therapeutic use*
Pheochromocytoma / diagnosis,  drug therapy*
Postpartum Period
Pregnancy Complications, Neoplastic / diagnosis,  drug therapy*
Pregnancy Outcome*
Risk Assessment
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonography, Prenatal
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Vaginal mullerian cyst presenting as a cystocele.
Next Document:  Mucous membrane pemphigoid of the vulva.