Paraganglioma in pregnancy: interdisciplinary management during pregnancy

Gynecol Endocrinol. 2019 Jul;35(7):567-570. doi: 10.1080/09513590.2019.1576619. Epub 2019 Feb 21.

Abstract

Paragangliomas are tumors that originate from the extra-adrenal neural crest, the incidence of which during pregnancy is not more than two to eight cases per million people per year and are known to be highly morbid. The purpose of this report is to describe the experience and results obtained during management of a primigravida diagnosed with paraganglioma on week 21.2 and received both medical and surgical management with good maternal and perinatal outcomes. This case report evidences the importance of practicing interdisciplinary management of patients with clinical suspicion of paragangliomas or pheochromocytomas during pregnancy at high-complexity centers even in a medium-income country.

Keywords: Pheochromocytoma; hypertensive disorders; metanephrines; paraganglioma; pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Gland Neoplasms / diagnostic imaging
  • Adrenal Gland Neoplasms / pathology
  • Adrenal Gland Neoplasms / surgery*
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Paraganglioma / diagnostic imaging
  • Paraganglioma / pathology
  • Paraganglioma / surgery*
  • Pregnancy
  • Pregnancy Complications, Neoplastic / diagnostic imaging
  • Pregnancy Complications, Neoplastic / pathology
  • Pregnancy Complications, Neoplastic / surgery*
  • Treatment Outcome
  • Young Adult