| Primary abdominal gestational choriocarcinoma. | |
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MedLine Citation:
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PMID: 14672474 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Gestational choriocarcinoma associated with ectopic pregnancy is an extremely infrequent event. Primary abdominal gestational choriocarcinoma has not been previously described. CASE: A pregnant woman presented to the emergency room with 6 days of vaginal spotting. Her last menstrual period suggested a gestation at 6 4/7 weeks. Transvaginal sonogram showed a hemoperitoneum with no intrauterine pregnancy. The serum human chorionic gonadotropin level was noted to be 317,735 mIU/mL. A 20 x 20-mm friable, bleeding mass on the left anterior abdominal wall was laparoscopically resected. Gestational choriocarcinoma was identified on histopathologic review. International Federation of Gynecology and Obstetrics stage IV:4 was assigned, and the patient achieved clinical remission with combination chemotherapy. CONCLUSION: Primary abdominal gestational choriocarcinoma can present with findings similar to a ruptured ectopic pregnancy; it should be treated by surgical excision and chemotherapy. |
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Authors:
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Jennifer L Bailey; Emily A Hinton; Raheela Ashfaq; John O Schorge |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 102 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2003 Nov |
Date Detail:
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Created Date: 2003-12-15 Completed Date: 2004-01-09 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 988-90 Citation Subset: AIM; IM |
Affiliation:
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Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Southwestern Trophoblastic Disease Center, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9032, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Antineoplastic Combined Chemotherapy Protocols / therapeutic use Choriocarcinoma / complications, diagnosis*, drug therapy, pathology, ultrasonography Diagnosis, Differential Female Humans Neoplasm Staging Pregnancy Uterine Hemorrhage / etiology Uterine Neoplasms / complications, diagnosis*, drug therapy, pathology, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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