Chen Y X, Xu J, Lv W G, Xie X
Department of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, PR China.
Eur J Gynaecol Oncol. 2008;29(2):174-6.
Nongestational ovarian choriocarcinomas are extremely rare and pose diagnostic challenges in reproductive-aged patients because of elevated human chorionic gonadotrophin (hCG). A 23-year-old nulliparous Chinese woman with nongestational ovarian choriocarcinoma escaped diagnostic testing and was initially treated for an ectopic pregnancy. Three months after her first visit, a diagnostic laparoscopy demonstrated a nongestational ovarian choriocarcinoma. Comprehensive surgical staging was performed by laparoscopy. The tumor was confined to the left ovary. The patient was categorized as FIGO Stage IA. She was given four courses of combined chemotherapy after laparoscopic surgery and has been disease-free for 36 months.
非妊娠性卵巢绒毛膜癌极为罕见，由于人绒毛膜促性腺激素（hCG）升高，给育龄患者带来诊断挑战。一名23岁未生育的中国女性患有非妊娠性卵巢绒毛膜癌，最初未接受诊断性检查，而是按异位妊娠进行了治疗。初诊三个月后，诊断性腹腔镜检查显示为非妊娠性卵巢绒毛膜癌。通过腹腔镜进行了全面的手术分期。肿瘤局限于左侧卵巢。该患者被归类为国际妇产科联盟（FIGO）IA期。腹腔镜手术后，她接受了四个疗程的联合化疗，现已无病生存36个月。
