Okamoto T, Nakanishi T, Nomura S, Goto S, Sakaida H, Tomoda Y
Department of Obstetrics and Gynecology, Nagoya University School of Medicine, Japan.
Nagoya J Med Sci. 1997 Mar;60(1-2):49-52.
A 27-year-old woman evacuated a hydatidiform mole at 11 weeks of gestation. Her serum human chorionic gonadotropin (hCG) levels declined progressively but reached a plateau of 2-3 mIU/ml thereafter. The patient was treated with two courses of methotrexate, which did not affect her hCG levels. She refused further chemotherapy and, for more than one year, she was managed expectantly until a significant rise in her hCG titer. Fortunately, an unexpected pregnancy and subsequent missed abortion led to a spontaneous regression of her hCG levels.
一名27岁女性在妊娠11周时排出了葡萄胎。她的血清人绒毛膜促性腺激素（hCG）水平逐渐下降，但此后达到了2 - 3 mIU/ml的平台期。该患者接受了两个疗程的甲氨蝶呤治疗，但这并未影响她的hCG水平。她拒绝进一步化疗，在一年多的时间里一直进行观察，直到她的hCG滴度显著上升。幸运的是，一次意外怀孕及随后的稽留流产导致她的hCG水平自发下降。
