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非妊娠性转移性卵巢绒癌1例:病例报告及文献复习,重点关注影像学表现

A Rare Case of Non-Gestational Metastatic Ovarian Choriocarcinoma: Case Report and Literature Review With a Special Emphasis on Imaging.

作者信息

Anjum Abdul Sattar, Maqsood Hamza, Younus Shifa, Anjum Sadia, Fatima Maham

机构信息

Radiology, Nishtar Medical University, Multan, PAK.

Cardiology, Nishtar Medical University, Multan, PAK.

出版信息

Cureus. 2021 Feb 4;13(2):e13121. doi: 10.7759/cureus.13121.

DOI:10.7759/cureus.13121
PMID:33692915
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7938442/
Abstract

Non-gestational choriocarcinoma of the ovary is a very rare neoplasm. It carries a worse prognosis as compared to gestational choriocarcinoma (GCC). Here, we report a case of non-gestational ovarian choriocarcinoma. The patient initially presented in a medical emergency with abdominal pain, a feeling of heaviness in the lower abdomen, cough, and dyspnea. The patient had four healthy children, and the last childbirth was five years ago. There was no history of any abortion or stillbirth in the past four years. A highly vascular left adnexal mass was observed on ultrasound abdomen and pelvis. Compute CT chest, abdomen, and pelvis were performed, which revealed metastatic left ovarian choriocarcinoma features. It also showed vascular metastases of the carcinoma in the kidneys, liver, and lungs. We report this case specifically emphasizing ultrasound, multidetector computed tomography (MDCT), and CT angiography findings.

摘要

卵巢非妊娠性绒毛膜癌是一种非常罕见的肿瘤。与妊娠性绒毛膜癌(GCC)相比,其预后更差。在此,我们报告一例卵巢非妊娠性绒毛膜癌病例。患者最初因腹痛、下腹部坠胀感、咳嗽和呼吸困难等紧急情况就诊。该患者育有四个健康子女,最后一次分娩是在五年前。过去四年无任何流产或死产史。腹部和盆腔超声检查发现左侧附件有一个血供丰富的肿块。进行了胸部、腹部和盆腔的计算机断层扫描(CT),结果显示为左侧卵巢绒毛膜癌转移特征。还显示癌灶在肾脏、肝脏和肺部有血管转移。我们报告该病例,特别强调超声、多排螺旋计算机断层扫描(MDCT)和CT血管造影的检查结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/eaaca76dc81c/cureus-0013-00000013121-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/4f8a17ca80ca/cureus-0013-00000013121-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/da1e177cd532/cureus-0013-00000013121-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/f1e834671d8b/cureus-0013-00000013121-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/fe38f1217470/cureus-0013-00000013121-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/4c7389afa186/cureus-0013-00000013121-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/7198d389118e/cureus-0013-00000013121-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/62f0f1e84a05/cureus-0013-00000013121-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/17ea92ad36ca/cureus-0013-00000013121-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/141f11517207/cureus-0013-00000013121-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/a8610a3e411f/cureus-0013-00000013121-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/63ea5377ec70/cureus-0013-00000013121-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/eaaca76dc81c/cureus-0013-00000013121-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/4f8a17ca80ca/cureus-0013-00000013121-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/da1e177cd532/cureus-0013-00000013121-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/f1e834671d8b/cureus-0013-00000013121-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/fe38f1217470/cureus-0013-00000013121-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/4c7389afa186/cureus-0013-00000013121-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/7198d389118e/cureus-0013-00000013121-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/62f0f1e84a05/cureus-0013-00000013121-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/17ea92ad36ca/cureus-0013-00000013121-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/141f11517207/cureus-0013-00000013121-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/a8610a3e411f/cureus-0013-00000013121-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/63ea5377ec70/cureus-0013-00000013121-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4195/7938442/eaaca76dc81c/cureus-0013-00000013121-i12.jpg

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