Sievert K, Weber E A, Herwig R, Schmid H, Roos S, Eickenberg H U
Department of Urology, Westfälische Wilhelms University, Münster, Germany.
Urology. 2000 Nov 1;56(5):856. doi: 10.1016/s0090-4295(00)00772-x.
Choriocarcinoma was diagnosed in a 77-year-old woman with an acute massive, painless hematuria. One year after anterior pelvic exenteration and ileal conduit, the beta-human chorionic gonadotropin level increased to 934 mIU/mL without any sign of tumor progression. After six courses of chemotherapy (vincristine, actinomycin, and cyclophosphamide), the beta-human chorionic gonadotropin levels returned to normal. To our knowledge, this is the fourth case of pure choriocarcinoma in the bladder, with the longest survival time of 33 months so far.
一名77岁女性因急性大量无痛性血尿被诊断为绒毛膜癌。在进行盆腔前清扫术和回肠代膀胱术后一年,β-人绒毛膜促性腺激素水平升至934 mIU/mL,且无任何肿瘤进展迹象。经过六个疗程的化疗(长春新碱、放线菌素和环磷酰胺)后,β-人绒毛膜促性腺激素水平恢复正常。据我们所知,这是第四例膀胱原发性绒毛膜癌病例,目前最长生存期为33个月。