[Pheochromocytoma associated with pregnancy. Report of 2 cases and review of the literature].
Pheochromocytoma is rarely observed during pregnancy and not easily diagnosed, especially since the clinical manifestations may mimic common gravid hypertension. The maternal and fetal prognosis depends on early diagnosis and multidisciplinary management preparing for tumor resection. Appropriate laboratory tests easily provide the positive diagnosis, if they are ordered. The tumor is localized by ultrasonography or magnetic resonance imaging (MRI). By prescribing an alpha-blocker, it is possible to prepare the resection as a function of term, before or after delivery. This strategy allows a reduction in maternal and fetal mortality which is high if the pheochromocytoma goes undiagnosed.
Castaigne
V
V
Service de Gynécologie-Obstétrique, Hôpital Notre-Dame-du-Bon-Secours, Paris.
Afriat
R
R
Cambouris-Perrine
S
S
Radu
S
S
Desdouit
J
J
Freund
M
M
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000601:surgery; D000317:Adrenergic alpha-Antagonists / Q000627:therapeutic use; D000328:Adult; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000601:surgery; D011379:Prognosis
D000317:Adrenergic alpha-Antagonists
Association phéochromocytome et grossesse. A propos de 2 cas et revue de la littérature.