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Cancer Biol Med. 2017 May;14(2):191-193. doi: 10.20892/j.issn.2095-3941.2017.0004.

Prognosis of gestational choriocarcinoma diagnosed incidentally during laparoscopy for a presumed cornual pregnancy: a report of five cases.

Cancer biology & medicine

Shiping Liu, Chenchen Fan, Fengzhi Feng, Yang Xiang, Xirun Wan, Tong Ren

Affiliations

  1. Peking University First Hospital, Beijing 100034, China.

PMID: 28607811 PMCID: PMC5444932 DOI: 10.20892/j.issn.2095-3941.2017.0004

Abstract

The clinical presentations of gestational choriocarcinoma vary markedly, and a misdiagnosis could be made in atypical patients if simply relying on clinical features. Laparoscopic resection of uterine mass lesion is rarely used in gestational choriocarcinoma diagnosis because of the fear of heavy blood loss and distant metastasis. Five patients who were preoperatively diagnosed as having cornual pregnancy underwent laparoscopic resection of mass lesion and then proved to have gestational choriocarcinoma based on pathological examinations. Chemotherapy was started within two days after surgery, and the rate of complete remission was 100%. The mean follow-up time was 29.8±19.1 months, and no patient showed signs of relapse. Laparoscopic resection of uterine mass followed by timely postoperative chemotherapy may be an effective and safe way to obtain pathologic results in patients with suspected gestational choriocarcinoma.

Keywords: Gestational choriocarcinoma; cornual pregnancy; laparoscopy

References

  1. J Reprod Med. 1998 Jan;43(1):44-52 - PubMed
  2. Med J Malaysia. 2015 Apr;70(2):100-1 - PubMed
  3. Hematol Oncol Clin North Am. 2012 Feb;26(1):111-31 - PubMed
  4. Arch Gynecol Obstet. 2007 Dec;276(6):645-7 - PubMed
  5. Zhonghua Fu Chan Ke Za Zhi. 2005 Feb;40(2):91-4 - PubMed
  6. Eur J Obstet Gynecol Reprod Biol. 2001 May;96(1):116-8 - PubMed

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