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妊娠期副神经节瘤伴复发性流产：一例报告

Paraganglioma in Pregnancy with Recurrent Pregnancy Loss: A Case Report.

作者信息

Cheng Wee Mee, Hussein Zanariah

机构信息

Hospital Putrajaya, Putrajaya, Malaysia.

出版信息

J ASEAN Fed Endocr Soc. 2025 May;40(1):98-103. doi: 10.15605/jafes.040.01.09. Epub 2025 Apr 25.

DOI:10.15605/jafes.040.01.09
PMID:40416486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12097976/
Abstract

Due to its rarity, pheochromocytoma or paraganglioma (PPGL) in pregnancy is often not timely diagnosed, thus resulting in high materno-fetal complications. We report a 28-year-old female who presented with paroxysmal symptoms and severe hypertension during early pregnancy. Biochemical confirmatory tests and localization imaging were delayed due to multiple factors. She suffered from two pregnancy losses before she had resection of the paraganglioma.

摘要

由于嗜铬细胞瘤或副神经节瘤（PPGL）在孕期较为罕见，其往往无法得到及时诊断，从而导致母婴出现较高的并发症。我们报告一例28岁女性，在孕早期出现阵发性症状和严重高血压。由于多种因素，生化确诊检查和定位成像被延误。在切除副神经节瘤之前，她经历了两次流产。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/f3e68013b89d/JAFES-40-1-98-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/5fbe566ab0e1/JAFES-40-1-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/609bfc253f78/JAFES-40-1-98-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/b499de86a5aa/JAFES-40-1-98-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/1184c26d9d70/JAFES-40-1-98-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/f3e68013b89d/JAFES-40-1-98-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/5fbe566ab0e1/JAFES-40-1-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/609bfc253f78/JAFES-40-1-98-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/b499de86a5aa/JAFES-40-1-98-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/1184c26d9d70/JAFES-40-1-98-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ecc/12097976/f3e68013b89d/JAFES-40-1-98-g005.jpg

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本文引用的文献

1
The diagnosis and management of pheochromocytoma and paraganglioma during pregnancy.妊娠期嗜铬细胞瘤和副神经节瘤的诊断和处理。
Rev Endocr Metab Disord. 2023 Feb;24(1):49-56. doi: 10.1007/s11154-022-09773-2. Epub 2023 Jan 13.
2
The Utility of Ga-DOTATATE PET/CT in Localizing Primary/Metastatic Pheochromocytoma and Paraganglioma: Asian Indian Experience.镓[68Ga] DOTATATE PET/CT在定位原发性/转移性嗜铬细胞瘤和副神经节瘤中的应用：亚洲印度人的经验
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Pheochromocytoma and Paraganglioma in Pregnancy: a New Era.
妊娠期嗜铬细胞瘤和副神经节瘤：新时代
Curr Cardiol Rep. 2021 May 7;23(6):60. doi: 10.1007/s11886-021-01485-4.
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Ga-DOTATATE PET/CT for Neuroblastoma Staging: Utility for Clinical Use.镓- DOTATATE PET/CT 用于神经母细胞瘤分期：临床应用的效用。
J Nucl Med Technol. 2021 Sep;49(3):265-268. doi: 10.2967/jnmt.120.258939. Epub 2021 Apr 5.
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Pregnancy and phaeochromocytoma/paraganglioma: clinical clues affecting diagnosis and outcome - a systematic review.妊娠与嗜铬细胞瘤/副神经节瘤：影响诊断和结局的临床线索——系统综述。
BJOG. 2021 Jul;128(8):1264-1272. doi: 10.1111/1471-0528.16635. Epub 2021 Jan 25.
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Maternal and fetal outcomes in phaeochromocytoma and pregnancy: a multicentre retrospective cohort study and systematic review of literature.《妊娠合并嗜铬细胞瘤：一项多中心回顾性队列研究和文献系统评价》。
Lancet Diabetes Endocrinol. 2021 Jan;9(1):13-21. doi: 10.1016/S2213-8587(20)30363-6. Epub 2020 Nov 26.
7
Predictors of recurrence of pheochromocytoma and paraganglioma: a multicenter study in Piedmont, Italy.预测嗜铬细胞瘤和副神经节瘤的复发：意大利皮埃蒙特的一项多中心研究。
Hypertens Res. 2020 Jun;43(6):500-510. doi: 10.1038/s41440-019-0339-y. Epub 2019 Oct 4.
8
Impact of maternal pheochromocytoma on the fetus and neonate.母亲嗜铬细胞瘤对胎儿和新生儿的影响。
Gynecol Endocrinol. 2019 Apr;35(4):280-286. doi: 10.1080/09513590.2018.1540568. Epub 2019 Jan 6.
9
Committee Opinion No. 723: Guidelines for Diagnostic Imaging During Pregnancy and Lactation.委员会意见第 723 号：妊娠期和哺乳期诊断影像学检查指南。
Obstet Gynecol. 2017 Oct;130(4):e210-e216. doi: 10.1097/AOG.0000000000002355.
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European Society of Endocrinology Clinical Practice Guideline for long-term follow-up of patients operated on for a phaeochromocytoma or a paraganglioma.欧洲内分泌学会嗜铬细胞瘤或副神经节瘤手术患者长期随访临床实践指南
Eur J Endocrinol. 2016 May;174(5):G1-G10. doi: 10.1530/EJE-16-0033.