1 Introduction
2 Normal catecholamine physiology in pregnancy
3 Incidence and clinical features of PPGL during pregnancy
Bancos et al. [4] | Langton et al. [5] | ||
---|---|---|---|
Method of review | Combined international retrospective multi-center study based on the newly founded International-Pheochromocytoma-and-Pregnancy-Registry of patients with PPGL and pregnancy occurring between 1980 and 2019 and a systematic review of literature conducted on studies published between January 1st, 2005 to December 27th, 2019. Case reports/series with < 5 patients excluded | Case reports on PPGL in pregnancy published between 1 January 1988 and 30 June 2019 in English, German, Dutch or French | |
Total (patients/pregnancies) | 232/249 | 200/204 | |
Age, y | 29 (range 15, 46) | 29 (IQR 25–34) | |
Weeks of gestation (antepartum diagnosis) | 24 (range 2, 38) | 25.6 (IQR 18, 34) | |
Symptomatic during pregnancy | 83% | 90% | |
Hypertension | 77% | 72% | |
History of PPGL, mutation carriers, adrenal mass | NR | 12% | |
Diagnosis of PPGL | pre-pregnancy | 15% | |
during pregnancy | 54% | 71% | |
after pregnancy | 31% | 22% | |
post-mortem | 7% | ||
Pathology | PC | 61% | 70% |
Bilateral PC | 8% | 9% | |
PGL | 18% | 18% | |
Multiple PGL | 5% | 3% | |
Metastatic PPGL | 9% | NR | |
Alpha-blockade | NR | 67% | |
PPGL surgery | During pregnancy | 18% | 22% |
After pregnancy | 70% | 77% | |
no surgery ator | 12% | ||
Delivery | Vaginal | 31% | 22% |
Caesarean section | 59% | 76% | |
Catecholamine secretion | Total | 95% | NR |
Norepinephrine | 44% | NR | |
Epinephrine | 39% | NR | |
Dopamine | 1% | NR | |
Family history | 25% | NR | |
Positive genetic test* | 66% | 23% | |
Maternal mortality | Total | 1.3% | 9% |
Antepartum | 0% | 0.7% | |
Postpartum | 4% | 29% | |
Fetal mortality | Total | 7% | 14% |
Antenatal | 9% | 10% | |
Postnatal | 13% | 25% |