临床误诊误治2013，Vol.26Issue(2)：45-48,4.DOI:10.3969/j.issn.1002-3429.2013.02.019
不典型宫角妊娠误诊为滋养细胞疾病三例分析
Analysis of Atypical Angular Pregnancy Misdiagnosis of Gestational Trophoblastic Disease (3 Cases)
林宇庚1
作者信息
- 1. 100050北京,首都医科大学附属北京友谊医院妇产科
- 折叠
摘要
Abstract
Objective To investigate the cause and the main differential manifestations of angular pregnancy misdiagnosed as gestational trophoblastic disease (GTD). Methods The diagnostic processes of 3 patients with atypical angular pregnancy in our hospital were retrospectively analyzed, and the cause of angular pregnancy misdiagnosed as GTD was discussed. Results The 3 patients were admitted for abnormal bleeding for 5 months, abnormal mass in ultrasound image after 2 months of dilatation and curet-tage, and abnormal vaginal bleeding for 16 d after 51 d of menopause respectively. One patient was misdiagnosed as having chorio-carcinoma, and the other two were misdiagnosed as having hydatidiform mole. Two patients were confirmed by operation, and the other one was diagnosed by decreasing haemic chorionic gonadotrophin after two times of dilatation and curettage without mole o{ pregnancy. All the 3 patients were cured. Conclusion Clinicians must pay more attention to the pregnancy-related diseases, and surgical approach is helpful in some cases. Radiotherapy and chemotherapy should not be taken without confirmed diagnosis.关键词
宫角妊娠/误诊/滋养细胞疾病Key words
Cornual pregnancy/ Misdiagnosis/ Trophobiastic disease分类
医药卫生引用本文复制引用
林宇庚..不典型宫角妊娠误诊为滋养细胞疾病三例分析[J].临床误诊误治,2013,26(2):45-48,4.
