Mohamed Ismail Nor Azlin, Abd Rahman Rahana, Abd Wahab Norasyikin, Muhammad Rohaizak, Nor Azmi Kamaruddin
Department of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia.
Malays J Med Sci. 2012 Jan;19(1):65-8.
Pheochromocytoma during pregnancy is potentially disastrous to the mother and fetus. Its ambiguous presentation is often mistaken for pre-eclampsia, although it may imitate other problems during pregnancy. Early diagnosis and timely, appropriate management reduces possible maternal and fetal complications. We identified a case of pheochromocytoma during pregnancy; the condition was initially diagnosed as pre-eclampsia complicated with gestational diabetes. Surgical intervention via left adrenalectomy was successfully performed in the second trimester. After surgery, all of the patient's medical problems nearly subsided and she did not require further treatment. However, her fetus displayed restricted intrauterine growth, and the patient eventually had premature delivery via a caesarean section. A multidisciplinary team to identify and treat pheochromocytoma is mandatory to ensure optimal conditions for tumour removal and to anticipate any possible catastrophic events.
妊娠期嗜铬细胞瘤对母亲和胎儿都可能带来灾难性后果。其临床表现不典型，常被误诊为子痫前期，尽管它也可能类似妊娠期的其他问题。早期诊断并及时、恰当处理可减少可能出现的母婴并发症。我们确诊了一例妊娠期嗜铬细胞瘤；该病例最初被诊断为子痫前期合并妊娠期糖尿病。孕中期成功实施了左侧肾上腺切除术。术后，患者的所有医学问题几乎都得到缓解，无需进一步治疗。然而，她的胎儿出现了宫内生长受限，患者最终剖宫产早产。必须组建一个多学科团队来识别和治疗嗜铬细胞瘤，以确保具备切除肿瘤的最佳条件，并预见到任何可能的灾难性事件。
