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脑转移性绒毛膜癌:产后“中风”的一个原因。

Cerebral metastatic choriocarcinoma: a postpartum cause of "stroke".

作者信息

Gurwitt L J, Long J M, Clark R E

出版信息

Obstet Gynecol. 1975 May;45(5):583-8.

PMID:1124178
Abstract

This case presentation is that of a 23-year-old woman who developed a "stroke" shortly after delivering a normal full-term infant. Evacuation of an intracerebral hematoma was required and an underlying nidus of choriocarcinoma was discovered. The patient responded dramatically to chemotherapy and irradiation. Because this metastatic tumor is potentially curable, we emphasize the importance of considering this diagnosis in young women who present with "stroke" symptoms, and we outline the appropriate laboratory and radiographic investigations.

摘要

本病例报告的是一位23岁女性,她在正常足月分娩后不久发生了“中风”。需要清除脑内血肿,并发现了绒毛膜癌的潜在病灶。患者对化疗和放疗反应显著。由于这种转移性肿瘤有可能治愈,我们强调在出现“中风”症状的年轻女性中考虑这一诊断的重要性,并概述了适当的实验室和影像学检查。

相似文献

1
Cerebral metastatic choriocarcinoma: a postpartum cause of "stroke".脑转移性绒毛膜癌:产后“中风”的一个原因。
Obstet Gynecol. 1975 May;45(5):583-8.
2
Spontaneous intracerebral hematoma caused by cerebral neoplasms. Report of eight verified cases.
J Neurosurg. 1975 Mar;42(3):338-42. doi: 10.3171/jns.1975.42.3.0338.
3
Cerebrovascular disorders associated with pregnancy.与妊娠相关的脑血管疾病。
Am Fam Physician. 1986 Jun;33(6):125-32.
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[A case with intracerebral hemorrhage (author's transl)].[一例脑出血病例(作者译)]
No Shinkei Geka. 1978 Apr;6(4):321-6.
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Computed tomography and angiographic findings in metastatic choriocarcinoma.转移性绒毛膜癌的计算机断层扫描和血管造影表现。
J Comput Assist Tomogr. 1989 Mar-Apr;13(2):319-22. doi: 10.1097/00004728-198903000-00026.
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[Metastatic and hemorrhagic brain arteriovenous fistulae due to a choriocarcinoma. Case report].[绒毛膜癌所致转移性及出血性脑动静脉瘘。病例报告]
Neurochirurgie. 2002 Feb;48(1):39-43.
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Recurrent Cerebral Hemorrhage in Normal Pregnancy Secondary to Mycotic Pseudoaneurysms Related to Choriocarcinoma.妊娠合并绒毛膜癌继发霉菌性假性动脉瘤导致的正常妊娠复发性脑出血
World Neurosurg. 2018 Jan;109:247-250. doi: 10.1016/j.wneu.2017.09.187. Epub 2017 Oct 5.
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Implications for the pathogenesis of aneurysm formation: metastatic choriocarcinoma with spontaneous splenic rupture. Case report and a review.动脉瘤形成的发病机制探讨:转移性绒毛膜癌伴自发性脾破裂。病例报告及文献复习。
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Occlusion of cerebral artery due to metastasis of chorioepithelioma. Case report.绒毛膜上皮癌转移致脑动脉闭塞。病例报告。
J Neurosurg. 1979 Aug;51(2):247-50. doi: 10.3171/jns.1979.51.2.0247.
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[Cerebral hemorrhage disclosing metastatic choriocarcinoma].
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引用本文的文献

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Fatal Postpartum Hemorrhage in Diffuse Midline Glioma with H3-K27M Mutation.伴有H3-K27M突变的弥漫性中线胶质瘤患者的致命性产后出血
Case Rep Obstet Gynecol. 2019 Aug 21;2019:8340437. doi: 10.1155/2019/8340437. eCollection 2019.
2
Spontaneous acute subdural hematoma as an initial presentation of choriocarcinoma: a case report.自发性急性硬膜下血肿作为绒毛膜癌的首发表现:一例报告
J Med Case Rep. 2008 Jun 19;2:211. doi: 10.1186/1752-1947-2-211.