title: Adrenal tumours in pregnancy: diagnostic challenge and management dilemma.
abstract: Adrenal gland tumours in pregnancy are very rare occurrences and have highly variable clinical presentations. The timely diagnosis of adrenal tumours in pregnancy is extremely important, as failure to do so may lead to fatality. As there is limited published literature on adrenal tumours in pregnancy and no consensus on its management, the management of such patients with regard to medical and surgical treatments, as well as timing of delivery, must therefore be individualised and carried out with multidisciplinary expertise. We present two cases of adrenal tumours in pregnancy, both with favourable outcomes and variable gestations. Our first and second cases discuss a large phaeochromocytoma and a cortisol-secreting adrenal cortical adenoma in pregnancy, respectively.
authors.affiliation: Department of Obstetrics and Gynaecology, KK Women and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. jess_phoon@yahoo.com
authors.forename: Jessie Wai Leng
authors.initials: JW
authors.lastname: Phoon
authors.forename: Devendra
authors.initials: D
authors.lastname: Kanalingam
authors.forename: Hong Liang
authors.initials: HL
authors.lastname: Chua
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D000315:Adrenalectomy; D000328:Adult; D015415:Biomarkers / Q000097:blood / Q000652:urine; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000601:surgery*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis*
chemical_list: D015415:Biomarkers