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部分性葡萄胎妊娠子宫动脉栓塞术后β-HCG水平升高:一例报告

Increase in the level of β-HCG after uterine artery embolization in the context of partial molar pregnancy: A case report.

作者信息

Light-Olson Hannah, Khanna Caroline, Brown Alaina J, Voutsinas Nicholas, Boos Elise W

机构信息

Vanderbilt University School of Medicine, 1161 21st Ave S, #D300, Nashville, TN 37232, United States.

Vanderbilt University Medical Center Department of Gynecologic Oncology, 1211 Medical Center Drive, Nashville, TN 37232, United States.

出版信息

Case Rep Womens Health. 2023 Oct 4;39:e00552. doi: 10.1016/j.crwh.2023.e00552. eCollection 2023 Sep.

Abstract

This report documents the case of a patient with a previously diagnosed partial molar pregnancy evacuated by dilation and suction curettage with appropriately declining post-operative levels of beta-human chorionic gonadotropin (beta-hCG), who, one month later, underwent uterine artery embolization in the setting of acute bleeding and imaging concerning for arteriovenous malformation. After embolization, beta-hCG levels increased, prompting concern for gestational trophoblastic neoplasia and referral to gynecologic oncology. With further workup, the elevation was found to be transient and benign - a phenomenon not previously described.

摘要

本报告记录了一例患者的病例,该患者先前诊断为部分性葡萄胎,通过扩张刮宫术排空,术后β-人绒毛膜促性腺激素(β-hCG)水平适当下降。一个月后,该患者因急性出血和影像学检查怀疑有动静脉畸形而接受了子宫动脉栓塞术。栓塞术后,β-hCG水平升高,引发了对妊娠滋养细胞肿瘤的担忧,并转诊至妇科肿瘤学。经过进一步检查,发现这种升高是短暂且良性的——这是一种此前未被描述过的现象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a688/10565677/ff771f6a551c/gr1.jpg

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