输卵管异位葡萄胎妊娠：一例报告。
Tubal ectopic molar pregnancy: A case report.
作者信息
Hajisafari Tafti Mojgan, Zare Garizi Sajad, Mazidi Fatemeh
机构信息
Department of Obstetrics and Gynecology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
出版信息
Int J Reprod Biomed. 2024 Jul 8;22(5):405-410. doi: 10.18502/ijrm.v22i5.16441. eCollection 2024 May.
BACKGROUND
Ectopic molar pregnancy (EMP) is a rare form of gestational trophoblastic disease that occurs when a hydatidiform mole implants outside the uterus.
CASE PRESENTATION
We describe a 35-yr-old woman with mild abdominal pain, delayed menstruation for 2 months, and high beta-human chorionic gonadotropin levels. Sonography revealed a heterogeneous hyperechoic mass in the left adnexa and fluid in the endometrial cavity, suggestive of a tubal EMP. She underwent endometrial curettage and left salpingectomy. Pathology confirmed the diagnosis of invasive hydatidiform mole/left tubal EMP. The case recovered well and had no complications.
CONCLUSION
This case highlights the need for early diagnosis and multidisciplinary treatment of EMP to avoid serious consequences from persistent trophoblastic tumors.
背景
异位葡萄胎妊娠（EMP）是妊娠滋养细胞疾病的一种罕见形式，当葡萄胎在子宫外着床时发生。
病例报告
我们描述了一名35岁女性，有轻微腹痛、月经推迟2个月以及高β-人绒毛膜促性腺激素水平。超声检查显示左附件有一个不均质高回声团块，子宫内膜腔内有液性暗区，提示输卵管EMP。她接受了刮宫术和左侧输卵管切除术。病理证实为侵蚀性葡萄胎/左侧输卵管EMP。该病例恢复良好，无并发症。
结论
本病例强调了对EMP进行早期诊断和多学科治疗的必要性，以避免持续性滋养细胞肿瘤带来的严重后果。
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