误诊为非转移性滋养细胞疾病的胎盘部位超常反应。病例报告。
Exaggerated placental site erroneously diagnosed as non-metastatic trophoblastic disease. A case report.
作者信息
Menczer J, Livoff A, Malinger G, Girtler O, Zakut H
机构信息
Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Holon and Sackler Faculty of Medicine, Tel Aviv University, Israel.
出版信息
Eur J Gynaecol Oncol. 1999;20(2):115-6.
BACKGROUND
Exaggerated placental site (EPS) is classified as a non-neoplastic trophoblastic lesion, and histologically it consists of endometrial and myometrial invasion of intermediate trophoblasts and syncytiotrophoblasts and it differs morphologically from placental site trophoblastic tumors and placental nodules. The purpose of this report is to increase physicians' awareness of this lesion.
CASE
A 48-year-old woman with post-molar rising betahCG titers and a clinical diagnosis of non-metastatic trophoblastic disease underwent hysterectomy. Final histopathology showed exaggerated placental site--a lesion often unfamiliar to clinicians.
CONCLUSION
It is suggested that operative hysteroscopy may be useful in the diagnosis and management of EPS.
背景
夸大性胎盘部位（EPS）被归类为一种非肿瘤性滋养层病变，从组织学上看，它由中间型滋养层细胞和合体滋养层细胞侵入子宫内膜和肌层组成，在形态上与胎盘部位滋养层肿瘤和胎盘结节不同。本报告的目的是提高医生对这种病变的认识。
病例
一名48岁女性，葡萄胎后β-hCG水平升高，临床诊断为非转移性滋养层疾病，接受了子宫切除术。最终组织病理学检查显示为夸大性胎盘部位——一种临床医生通常不熟悉的病变。
结论
提示手术宫腔镜检查可能有助于EPS的诊断和管理。
Zotero 插件