Document Detail

Unusual presentation of primary gastric choriocarcinoma in a 24-year-old female patient.
MedLine Citation:
PMID:  22111476     Owner:  NLM     Status:  In-Process    
We report a case of a young female patient presenting with a high serum beta-HCG levels, amenorrhea, nausea and anemia which mimicked pregnancy followed by upper gastrointestinal bleeding. A gastric tumor was shown on endoscopy. Histopathologic evaluation revealed Primary Gastric Choriocarcinoma (PGC). The patient was treated with three cycles of standard nongestational choriocarcinoma chemotherapy. Tumor persistence was evidenced by CT Scans and high serum beta-HCG levels. The patient died approximately six months after diagnosis. Our case report suggest that PGC is a highly aggressive tumor that is often associated with liver and lungs metastasis without evidence of pelvic organ abnormality and is associated with some hormonal effects, such as amenorrhea, anemia, nausea and vomiting mimicking pregnancy in young adult female
Mónica Santiago Casiano; Liza M Paulo Malavé; Eduardo Fahme; Sandra N Maldonado Rivera; Omayra González; William Cáceres Perkins; José Hernán Martínez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Boletín de la Asociación Médica de Puerto Rico     Volume:  103     ISSN:  0004-4849     ISO Abbreviation:  Bol Asoc Med P R     Publication Date:    2011 Apr-Jun
Date Detail:
Created Date:  2011-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505267     Medline TA:  Bol Asoc Med P R     Country:  Puerto Rico    
Other Details:
Languages:  eng     Pagination:  77-9     Citation Subset:  IM    
Department of Internal Medicine, San Juan City Hospital, San Juan, Puerto Rico.
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