دورية أكاديمية
Ovarian choriocarcinoma: a difficult diagnosis of an unusual tumor and a review of the hook effect.
العنوان: | Ovarian choriocarcinoma: a difficult diagnosis of an unusual tumor and a review of the hook effect. |
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المؤلفون: | Wheeler CA; Department of Obstetrics and Gynecology, Tulane University School of Medicine, New Orleans, Louisiana., Davis S, Degefu S, Thorneycroft IH, O'Quinn AG |
المصدر: | Obstetrics and gynecology [Obstet Gynecol] 1990 Mar; Vol. 75 (3 Pt 2), pp. 547-9. |
نوع المنشور: | Case Reports; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0401101 Publication Model: Print Cited Medium: Print ISSN: 0029-7844 (Print) Linking ISSN: 00297844 NLM ISO Abbreviation: Obstet Gynecol Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2004- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: New York. |
مواضيع طبية MeSH: | Choriocarcinoma/*diagnosis , Chorionic Gonadotropin/*blood , Ovarian Neoplasms/*diagnosis , Peptide Fragments/*blood, Adult ; Biomarkers, Tumor/blood ; Choriocarcinoma/pathology ; Chorionic Gonadotropin, beta Subunit, Human ; Diagnostic Errors ; Female ; Humans ; Ovarian Neoplasms/pathology ; Pregnancy ; Pregnancy, Ectopic/diagnosis ; Radioimmunoassay |
مستخلص: | Ovarian choriocarcinoma is difficult to diagnose in the reproductive-age patient. A case of nongestational ovarian choriocarcinoma is discussed which presented like a molar pregnancy initially. Because of falsely low beta-hCG values (283 mIU/L) caused by the high-dose "hook effect" in the double antibody immunoassay system, however, a diagnosis of ectopic pregnancy was entertained. At laparotomy, a large necrotic ovarian choriocarcinoma was found along with large theca lutein cysts. The hook effect may mislead the clinician, and it is important to recognize this effect to avoid misdiagnosis. |
المشرفين على المادة: | 0 (Biomarkers, Tumor) 0 (Chorionic Gonadotropin) 0 (Chorionic Gonadotropin, beta Subunit, Human) 0 (Peptide Fragments) |
تواريخ الأحداث: | Date Created: 19900301 Date Completed: 19900320 Latest Revision: 20151119 |
رمز التحديث: | 20231215 |
PMID: | 1689478 |
قاعدة البيانات: | MEDLINE |
تدمد: | 0029-7844 |
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