南方医科大学学报Issue(2)：309-311,3.DOI:10.3969/j.issn.1673-4254.2015.02.33
以肾脏自发破裂为临床表现的侵袭性葡萄胎1例报道
Spontaneous renal hemorrhage caused by invasive mole:a case report
慕庆玲 1肖松舒 1万亚军1
作者信息
- 1. 中南大学湘雅三医院妇产科，湖南 长沙410013
- 折叠
摘要
Abstract
Gestational trophoblastic tumors (GTTs) are malignant lesions that often cause abnormal genital bleeding and may present with hemoptysis, intraperitoneal bleeding or acute neurologic deficits. GTTs are generally highly chemosensitive with more favorable outcomes than other comparable malignancies. Here we report a rare case of invasive mole (FIGO stage IV, WHO score16) presenting with renal subcapsular hematoma due to bleeding renal metastasis. The patient had a pretreatmentβ-human chorionic gonadotrophin (β-HCG) level of 462 047 mIU/ml and received combined chemotherapy with etoposide, methotrexate, actinomycin-D, cyclophosphamide and vincristine with also adjuvant surgeries including hysterectomy and nephrectomy. The patient recovered well and the tumor has remained in complete remission for one year and a half.关键词
侵袭性葡萄胎/转移灶/肾/脑/化疗Key words
invasive mole/metastasis/renal/brain/chemotherapy引用本文复制引用
慕庆玲,肖松舒,万亚军..以肾脏自发破裂为临床表现的侵袭性葡萄胎1例报道[J].南方医科大学学报,2015,(2):309-311,3.
