Key result
Watchful waiting followed by postpartum resection safely manages giant adrenal teratoma with excellent maternal-fetal outcomes.
Why the study?
Adrenal tumors during pregnancy can mimic renal angiomyolipoma when the gravid uterus displaces landmarks, and excluding functional tumors is critical to prevent lethal hypertensive crises.
Case Report (n=1)
No
This case demonstrates that delaying surgery until the postpartum period is a safe strategy for non-functional giant retroperitoneal tumors during pregnancy, provided multidisciplinary management is utilized.
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Supports watchful waiting for non-functional retroperitoneal tumors in pregnancy with multidisciplinary care; hypothesis-generating and requires confirmation in larger series.
Yang et al. (2026) conducted a case report in Giant adrenal teratoma during pregnancy with coexisting fetal pulmonary sequestration (n=1). Watchful waiting followed by postpartum laparoscopic resection was evaluated on Maternal and fetal outcomes. A multidisciplinary strategy of watchful waiting during pregnancy followed by postpartum laparoscopic resection safely managed a giant non-functional adrenal teratoma, resulting in excellent maternal and neonatal outcomes.
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