临床误诊误治2016,Vol.29Issue(3):7-9,3.DOI:10.3969/j.issn.1002-3429.2016.03.003
胃原发性绒毛膜癌伴多脏器转移一例报告并文献复习
A Case Report of Gastric Primary Choriocarcinoma with Multiple Organs Metastasis and Relaled Literature Review
底建敏 1王健 1杨艳瑞 1徐杰1
作者信息
- 1. 050051 石家庄,河北医科大学第三医院妇产科
- 折叠
摘要
Abstract
Objective To provide reference for clinical treatment by detecting the growth characteristics of thegastric pri-mary choriocarcinoma with multiple organs metastasis. Methods A case diagnosed as gastric primary choriocarcinoma was retro-spective analyzed and related literatures were reviewed. Results The patient wad admitted for irregular vaginal bleeding for 6+months. Urine pregnancy test was positive (+) at a local hospital, pelvic color doppler ultrasound examination indicated no gesta-tional sac. In our hospital the checkedck blood humen chorionic gonadotropin (β-hCG) increased obviously, after the test, the chest, abdomen, pelvic CT examinations, and liver biopsy and immunohistochemical, gastroscope biopsy and diagnostic curettage (endometrium of menstrual period) were performed and the patient was diagnosed withgastric primary choriocarcinoma. The patient lived nearly eight months after chemotherapy and biological treatment and died of multi-organs failure. Conclusion Gastric primary choriocarcinoma is rare, with high malignant degree and fast tumor progress, and early distant metastases. It has poor prognosis.关键词
胃肿瘤/绒毛膜癌/肿瘤转移Key words
Stomach neoplasm/Choriocarcinoma/Neoplasm metastasis分类
临床医学引用本文复制引用
底建敏,王健,杨艳瑞,徐杰..胃原发性绒毛膜癌伴多脏器转移一例报告并文献复习[J].临床误诊误治,2016,29(3):7-9,3.