关键词: catecholamine secreting tumor gestational hypertension high-risk pregnancy paroxysmal symptoms pheochromocytoma pre-eclampsia

来  源:   DOI:10.7759/cureus.61286   PDF(Pubmed)

Abstract:
Pheochromocytoma, a rare but potentially serious condition, poses challenges in timely identification, especially during pregnancy due to misconceptions about pregnancy-related hypertension causes. However, paroxysmal symptoms heighten diagnostic suspicion. The diagnosis relies on biochemical confirmation of catecholamine hypersecretion followed by imaging for tumor localization. When diagnosed at or after 24 weeks, alpha-adrenoceptor blockers are recommended during pregnancy to manage catecholamine excess, delaying tumor removal until viability or post-delivery. The rarity of this condition during pregnancy, coupled with diagnostic and management challenges, underscores its importance for obstetric professionals in addressing hypertensive control, delivery timing, and surgical intervention.
摘要:
嗜铬细胞瘤,一种罕见但可能严重的情况,在及时识别方面提出了挑战,特别是在怀孕期间,由于对妊娠相关高血压原因的误解。然而,阵发性症状增加诊断怀疑。诊断依赖于儿茶酚胺分泌过多的生化确认,然后进行肿瘤定位成像。在24周时或之后诊断时,建议在怀孕期间使用α-肾上腺素受体阻滞剂来管理儿茶酚胺过量,延迟肿瘤切除直至存活或分娩后。这种情况在怀孕期间的罕见,再加上诊断和管理方面的挑战,强调其对产科专业人员解决高血压控制的重要性,交货时间,和手术干预。
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