异位妊娠术后绒癌脑转移1例并文献复习
이위임신술후융암뇌전이1례병문헌복습
Postoperative ectopic pregnancy with choriocarcinoma of brain metastases(a report of 1 case and review of literature)
  • 万方数据
    临床神经外科杂志 림상신경외과잡지
    JOURNAL OF CLINICAL NEUROSURGERY
    2014年 5期 375-377,378 ,共4页

    刘东媛%汪向红%刘妮英%范妮娜%王丹%张红波%陈小奇%穆林森%张锦%曾小君%孙彦辉

    류동원%왕향홍%류니영%범니나%왕단%장홍파%진소기%목림삼%장금%증소군%손언휘

    异位妊娠%绒癌%脑转移瘤 異位妊娠%絨癌%腦轉移瘤
    이위임신%융암%뇌전이류
    ectopic pregnancy%choriacarsinoma%brain metastasis
    目的：报告1例异位妊娠术后绒癌脑转移瘤的病例并回顾文献。方法通过妇科及神经系统检查，病理及影像学结果确诊绒癌。急诊行腹腔镜下异位妊娠手术，切除孕囊及病变侧输卵管，术后病理示正常胚胎。术后随访6～12个月1例发生脑转移，予以开颅手术，病理报告绒癌。术后腰穿甲氨蝶呤化疗、脱水、激素等对症治疗。结果患者术后症状改善，随访6个月未见病变复发。结论异位妊娠术后发生绒癌脑转移瘤可见于育龄妇女，临床表现不典型，误诊率高。术后化疗为主的综合治疗可改善患者症状。
    목적：보고1례이위임신술후융암뇌전이류적병례병회고문헌。방법통과부과급신경계통검사，병리급영상학결과학진융암。급진행복강경하이위임신수술，절제잉낭급병변측수란관，술후병리시정상배태。술후수방6～12개월1례발생뇌전이，여이개로수술，병리보고융암。술후요천갑안접령화료、탈수、격소등대증치료。결과환자술후증상개선，수방6개월미견병변복발。결론이위임신술후발생융암뇌전이류가견우육령부녀，림상표현불전형，오진솔고。술후화료위주적종합치료가개선환자증상。
    Objective To report one case of postoperative ectopic pregnancy with choriocarcinoma of brain metastases and rexiew the literature .Methods Combined with gynecological ,neurological,pathology and imaging examination the results clearly confirmed choriocarcinoma .By undergone emergency ectopic pregnancy laparoscopic surgery to remove the lesion Oviduct and Gestational sac ,the postoperative pathology showed normal embryos .The follow up from 6 to 12 months showed a case was diagnosed brain metastases by craniotomy and pathological reports showed as choriocarcinoma .Lumbar puncture methotrexate chemotherapy , dehydration , hormones and other symptomatic treatment were underwent .Results The patients ’ symptoms improved and no recurrent lesions were followed up for 6 months.Conclusions The postoperative ectopic pregnancy with choriocarcinoma of brain metastases occurrs in childbearing women age with atypical clinical manifestations and high misdiagnosis . Chemotherapy combined therapy may improve symptoms in postoperative .
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