Cagetti M, Uccheddu A, Murgia C
Minerva Chir. 1981 May 31;36(10):695-700.
An unusual case of digestive haemorrhage due to colic metastasis of choriocarcinoma is reported. Reference is made to the fact that the literature contains only three other cases of intestinal metastasis from choriocarcinoma and one from haemorrhagic destructive mole. Note is taken of the fact that the multiplicity of secondary sites may lead to haemorrhage in other districts, particularly the brain. Even so, the digestive haemorrhage is often the introductory sign of the primary neoplasia. The various ways of preoperatively diagnosing its nature and site are discussed. It is also shown that surgical management can be combined with suitable chemotherapy to achieve encouraging results.
报告了一例因绒毛膜癌结肠转移导致的消化性出血罕见病例。文中提到，文献中仅另有三例绒毛膜癌肠道转移病例以及一例出血性破坏性葡萄胎肠道转移病例。注意到继发部位的多样性可能导致其他部位出血，尤其是脑部。即便如此，消化性出血往往是原发性肿瘤的首发症状。文中讨论了术前诊断其性质和部位的各种方法。还表明手术治疗可与适当的化疗相结合以取得令人鼓舞的效果。
