A case of primary tubal gestational choriocarcinoma
| العنوان: | A case of primary tubal gestational choriocarcinoma |
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| المؤلفون: | Yogesh Chadha, Janene Davies, Robert Butler, Mahendra Singh |
| المصدر: | Australian and New Zealand Journal of Obstetrics and Gynaecology. 50:200-201 |
| بيانات النشر: | Wiley, 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Gynecology, Pregnancy, medicine.medical_specialty, Ectopic pregnancy, medicine.diagnostic_test, business.industry, medicine.medical_treatment, Obstetrics and Gynecology, General Medicine, medicine.disease, Adnexal mass, Gestational choriocarcinoma, medicine.anatomical_structure, Salpingectomy, medicine, Vaginal bleeding, medicine.symptom, Laparoscopy, business, Fallopian tube |
| الوصف: | A 24-year-old gravida 1 para 0 woman presented to our Emergency Department in December 2006 with mild vaginal bleeding and lower abdominal pain following six weeks amenorrhoea and positive urine pregnancy test. Her past medical history and systemic examination were unremarkable. Vaginal examination revealed minimal blood and mild left adnexal tenderness. Her haemoglobin was 13.6 g/dL, blood group ORhD+ve, serum sHCG titre 15 000 IU/L and liver function tests normal. A trans-vaginal ultrasound scan showed an empty uterus, 6.5 cm simple right ovarian cyst, normal left ovary, a 2.6 cm left adnexal mass and little pelvic free fluid. A provisional diagnosis of left ectopic pregnancy was made. Laparoscopy revealed a 3×2 cm intact left mid-tubal mass, a 6-cm simple right ovarian cyst and 150 mL blood in the pelvis which was otherwise normal. A left salpingectomy and right ovarian cystotomy were performed. Her recovery was uncomplicated. This case emphasises the importance of securing an accurate diagnosis and follow-up of all patients with, what may initially appear to be, a routine tubal pregnancy. Doing so would safeguard against missing this extremely rare, highly aggressive, but readily curable malignancy. © 2010 The Authors Journal compilation © 2010 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists |
| تدمد: | 1479-828X 0004-8666 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::436fe1621c8368da645448696e148d58 https://doi.org/10.1111/j.1479-828x.2009.01124.x |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........436fe1621c8368da645448696e148d58 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1479828X 00048666 |
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