Abstract：
INTRODUCTION:Gestational choriocarcinoma associated with ectopic pregnancy is an extremely rare event. We report a case of a choriocarcinoma arising from a cornual pregnancy. CASE:The patient is a 35-year-old G8 P2052 who was referred to our department due to failure of treatment for a suspected ectopic pregnancy. The patient had initially been treated with methotrexate injection but her beta-hCG levels reached a plateau 3 weeks later and, despite another two methotrexate injections, started to rise. The patient underwent dilation and curettage that did not reveal any trophoblastic tissue. A diagnostic hysteroscopy that followed demonstrated occluded ostia of the left tube. The patient subsequently underwent diagnostic laparoscopy that revealed a mass in the left cornua, which was removed with wedge-wide resection. Histologic evaluation revealed choriocaricnoma. DISCUSSION:Appropriate monitoring of beta-hCG titers following conservative management of suspected ectopic pregnancy is important, not only to diagnose persistent ectopic gestation, but also to rule out the presence of malignant trophoblastic disease, albeit the latter is a rare diagnosis.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Rotas M,Khulpateea N,Binder Ddoi
10.1007/s00404-007-0394-5subject
Has Abstractpub_date
2007-12-01 00:00:00pages
645-7issue
6eissn
0932-0067issn
1432-0711journal_volume
276pub_type
杂志文章,评审abstract：OBJECTIVES:To evaluate the outcome of hysteroscopic myomectomy in patients with infertility and recurrent abortions. MATERIALS AND METHODS:This was a retrospective clinical analysis of 186 patients who underwent hysteroscopic myomectomy by monopolar electrode loop. A second-look diagnostic hysteroscopy was performed i...
journal_title：Archives of gynecology and obstetrics
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更新日期：2015-03-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00404-006-0128-0
更新日期：2006-07-01 00:00:00
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更新日期：2015-10-01 00:00:00
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更新日期：2015-05-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2016-03-01 00:00:00
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pub_type： 杂志文章,随机对照试验
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更新日期：2014-03-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 信件
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更新日期：2008-10-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2012-02-01 00:00:00
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更新日期：2018-04-01 00:00:00
