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妊娠滋养细胞肿瘤伴肺栓塞,酷似肺结核。

Gestational trophoblastic neoplasia with pulmonary embolism mimicking tuberculosis.

作者信息

Jethani Varuna, Khanduri Sushant, Batra Ankit, Sinha Shivam

机构信息

Department of Respiratory Medicine, Himalayan Institute of Medical Sciences, Jollygrant, Dehradun, Uttarakhand, India.

Department of Medical Oncology, Himalayan Institute of Medical Sciences, Jollygrant, Dehradun, Uttarakhand, India.

出版信息

J Family Med Prim Care. 2024 Mar;13(3):1115-1118. doi: 10.4103/jfmpc.jfmpc_1278_23. Epub 2024 Apr 4.

DOI:10.4103/jfmpc.jfmpc_1278_23
PMID:38736792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11086786/
Abstract

Gestational trophoblastic neoplasia (GTN) comprises a group of human neoplastic diseases that derive from fetal trophoblastic tissues. They are proliferative as well as degenerative disorders of placental elements and include complete hydatidiform mole (CHM) or partial hydatidiform mole (PHM) (90%), invasive mole (IM) (5-8%), which could also be metastatic, villous, or villous choriocarcinoma (CC) (1-2%), and placental site trophoblastic tumor (PSTT) (1-2%). We present three cases of GTN, two mimicking tuberculosis radiologically, and all three are associated with pulmonary embolism.

摘要

妊娠滋养细胞肿瘤(GTN)是一组源自胎儿滋养层组织的人类肿瘤性疾病。它们是胎盘成分的增殖性和退行性疾病,包括完全性葡萄胎(CHM)或部分性葡萄胎(PHM)(90%)、侵蚀性葡萄胎(IM)(5 - 8%,也可能发生转移)、绒毛膜癌(CC)(1 - 2%)以及胎盘部位滋养细胞肿瘤(PSTT)(1 - 2%)。我们报告3例GTN病例,其中2例在影像学上酷似肺结核,且所有3例均伴有肺栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d01/11086786/68ff40618220/JFMPC-13-1115-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d01/11086786/e77814a3d343/JFMPC-13-1115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d01/11086786/68ff40618220/JFMPC-13-1115-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d01/11086786/e77814a3d343/JFMPC-13-1115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d01/11086786/68ff40618220/JFMPC-13-1115-g004.jpg

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本文引用的文献

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Gestational trophoblastic neoplasia mimicking ruptured ectopic pregnancy: A case report.妊娠滋养细胞肿瘤误诊为破裂型异位妊娠 1 例报告
Medicine (Baltimore). 2023 Jun 2;102(22):e33947. doi: 10.1097/MD.0000000000033947.
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