کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3975175 1600966 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Term pregnancy with choriocarcinoma presenting as severe fetal anemia and postpartum hemorrhage
ترجمه فارسی عنوان
بارداری دوره ای با کوریوکارسینوما که به عنوان آنمی قلبی شدید و خونریزی پس از زایمان صورت می گیرد
کلمات کلیدی
کم خونی جنین؛ خونریزی پس از زایمان؛ بارداری دوره ای با کوریوکارسینوما
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectiveTerm pregnancy with choriocarcinoma is a rare condition that can be a serious health threat to both the mother and the fetus. We present a rare case of term pregnancy with choriocarcinoma presenting as severe fetal anemia and postpartum hemorrhage.Case ReportA 34-year-old woman, gravida 3 para 2, was admitted for profuse vaginal bleeding 2 weeks after cesarean delivery of a full-term anemic baby. Transvaginal sonography revealed a 4.7-cm × 10.6-cm heterogenous lesion in the endometrial cavity. Dilatation and curettage was done and a pathologic report revealed choriocarcinoma. Metastatic workup showed lung metastasis. The patient achieved remission after eight cycles of chemotherapy in the form of etoposide, methotrexate, actinomycin D, cyclophosphamide, and vincristine. There was no evidence of recurrence in the subsequent 3 years of regular follow up.ConclusionAlthough fetomaternal hemorrhage is a rare form of presentation of choriocarcinoma, its presence should alert the physician to investigate the cause further. This chemotherapy regimen was effective in our case and the patient needed to be followed up carefully.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Taiwanese Journal of Obstetrics and Gynecology - Volume 55, Issue 3, June 2016, Pages 430–433
نویسندگان
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