Document Detail

Caesarean scar choriocarcinoma: a case report and review of the literature.
MedLine Citation:
PMID:  24887563     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report the clinical characteristics, pathologic findings and treatments of a patient with a Caesarean scar choriocarcinoma.
PATIENT HISTORY: A 22-year-old woman had a diagnosis of primary gestational choriocarcinoma in a uterine Caesarean scar misdiagnosed as a normal Caesarean scar pregnancy. The patient underwent selective uterine artery embolization coupled with methotrexate arterial injection, along with dilatation and curettage of the uterine Caesarean scar. Finally, she received eight courses of multiagent chemotherapy. The reproductive function of the patient was preserved.
CONCLUSIONS: Primary gestational choriocarcinoma out of the uterine corpus is a rare disease. A Caesarean scar choriocarcinoma is an extremely unusual example of this entity because of its unique position. To the best of our knowledge, this is the first report of this phenomenon. Our experience and a literature review suggest that a clinical diagnosis of a primary gestational choriocarcinoma of the uterine Caesarean scar is difficult to make, and uterine artery embolization is beneficial to prevent massive bleeding before curettage.
Zhi-Da Qian; Xiao-Ming Zhu
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2014-05-14
Journal Detail:
Title:  European journal of medical research     Volume:  19     ISSN:  2047-783X     ISO Abbreviation:  Eur. J. Med. Res.     Publication Date:  2014  
Date Detail:
Created Date:  2014-06-06     Completed Date:  2014-10-16     Revised Date:  2014-11-13    
Medline Journal Info:
Nlm Unique ID:  9517857     Medline TA:  Eur J Med Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  25     Citation Subset:  IM    
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MeSH Terms
Antineoplastic Agents / administration & dosage
Cesarean Section*
Choriocarcinoma / pathology*,  therapy
Cicatrix / pathology*
Methotrexate / administration & dosage
Uterine Artery Embolization
Uterine Neoplasms / pathology*,  therapy
Young Adult
Reg. No./Substance:
0/Antineoplastic Agents; YL5FZ2Y5U1/Methotrexate

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