Coriocarcinom gestaţional al colului uterin – prezentare de caz
We present the case of a year-old Caucasian patient, para 2, presenting a cervical well vascularised tumor in the uterine cervix, causing vaginal bleeding that occurred after an evacuated uterine curettage and hemostatically for incomplete abortion. The diagnosis of suspected cervical pregnancy was established based on the imaging aspect: the transvaginal ultrasound showed a parenchymal mass protruding into the cervical canal with intense peripheral vascular network.
Several conditions are more frequent in pregnancy: appendicitis, cholecystitis, adnexal torsion, adnexal mass, trauma, breast disease, cervical dysplasia or cancer, bowel obstruction. When a pregnant patient has to undergo surgery, the obstetrician, the general surgeon, or the orthopedist, the neurosurgeon as appropriate, together with the anesthetist and the neonatologist must consult each other, establishing the plan of action and performing accordingly.
The histopathological results correlated with elevated levels of β-hCG suggested the diagnosis of choriocarcinoma. Full interaxial hysterectomy was performed.
Extinderea venelor endometriale Progesterone is a female hormone important for ovulation and menstruation. Si tratament pentru a prevenii extinderea procesului de tromboza si aparitia de.
Choriocarcinoma has a very good prognosis, even in advanced stages, because it is a very chemosensitive tumor. Keywords gestational choriocarcinoma of the cervix, gestational trophoblastic neoplasia, vaginal bleeding Rezumat Coriocarcinomul primar al colului uterin este o condiţie extrem de rară, care ar trebui luată în considerare în diagnosticul diferenţial al unei formaţiuni de col uterin cu sângerare abundentă, în special din cauza vascularizaţiei intense, mai ales la femeile tinere.
Gestational choriocarcinoma of the cervix – a case report
Prezentăm cazul unei paciente în vârstă de 31 de ani, secundipară, care prezintă o formaţiune uterine cancer and pregnancy bine vascularizată la nivelul colului uterin, cauzatoare de sângerări vaginale debutate în urma unui chiuretaj uterin evacuator şi hemostatic pentru avort spontan incomplet. Diagnosticul de suspiciune de sarcină cervicală a fost stabilit pe baza aspectului imagistic: ecografia transvaginală arată o masă parenchimatoasă care protruzionează în canalul cervical, cu reţea vasculară periferică intensă.
You don't think it could be uterine cancer, do you? Nu crezi că e cancer uterinnu? Suggest an example Other results This wonderful herb is a uterine tonic that contains alkaloids with the ability to produce uterine contraction.
Rezultatele histopatologice corelate cu nivelurile crescute de β-hCG au sugerat diagnosticul de coriocarcinom. A fost efectuată histerectomie totală interanexială. Coriocarcinomul are un prognostic foarte bun, chiar şi în stadii avansate, deoarece este o tumoare foarte chimiosensibilă.
Cuvinte cheie coriocarcinom gestaţional al colului uterin neoplazie trofoblastică gestaţională sângerări vaginale Introduction Gestational trophoblastic neoplasia GTN includes invasive moles, choriocarcinoma, placental site trophoblastic tumor, and epithelioid trophoblastic tumor. These tumors develop almost always with or after a certain form of pregnancy.
In the absence of tissues for a definitive histopathological diagnosis, the disease GTN is diagnosed as a result of persistent human chorionic gonadotropin β-hCG after evacuation of a molar pregnancy.
Gestational choriocarcinoma is the most common type of trophoblastic neoplasm following a term pregnancy or spontaneous abortion, and only a third of cases occur after a molar pregnancy.
- it could be uterine - Translation into Romanian - examples English | Reverso Context
- Irina Horhoianu | Semantic Scholar
- Mecanismele de apariție și manifestări sunt similare cu cele cu venele varice pelvine.
Слушая сообщение, он выпил почти целый пакет апельсинового сока.
Choriocarcinoma consists of reminiscent cells of early cytotrophoblasty and syncytiotrophoblast, but it does not contain vilosities. Choriocarcinomas are usually accompanied by luteal ovarian cysts 1.
Gestational choriocarcinoma usually occurs in the uterine cavity and is associated with the coincidence or antecedent of pregnancy. Extrauterine choriocarcinomas are very rare, and most of them are located in the cervix 2. Case report A year-old patient with uncertain DUM was hospitalized in our clinic September 4, with vaginal bleeding which had started about half a month before, for investigations and specialised treatment.
Extinderea venelor endometriale
Following the clinical examination after hospitalization in our clinic, the local exam showed the vulva and vaginal examination of normal appearance, the posterior cervix through which polyposis injuries externalized, the vaginal tact revealed uterus in AVF of quasi-normal dimensions, without tact sensitivity and cervix mobilizing, uterine cancer and pregnancy annexes, free Douglas. A transvaginal ultrasound showed a parenchymal mass protruding into the cervical canal with intense peripheral vascular network.
Colposcopic examination: exocol circumscribed by the mammalian ectropion area, at uterine cancer and pregnancy left epithelium acetoalb epithelium; in the cervical canal polypoid formation with vascular changes at the touch. Biopsy and β-hCG were recommended in dynamics.
On September 11,endocervical curettage endocervical curettage with sending of extracted material to the histopathological examination, maneuver performed after placing two stitches on the cervicovaginal for hemostatic purposes, placed a Foley probe in the endocolus, minimum metrorrhagia established the diagnosis of choriocarcinoma endocolar.
The patient was discharged, with good general condition, smooth, without metrorrhagia. Approximately two weeks after dispensing from our clinic, the patient was hospitalized with minimal metrorrhagia. On November 8,at about two months after the last endocervical curettage, it was intervened surgically and decided to perform the interaxial total hysterectomy. Uterine body with hypertrophied muscle fibers.
Laparoscopic gynecological procedures during pregnancy
The endometrium with glands in the proliferative and intermediate phase glands, numerically enhanced, like the simple endometrial glandular hyperplasia, dense corion, without atypia. Leiomyomatous node with interstitial hialinization, 3 cm in diameter pT1 Nx Mx. Figure 1.
Knowledge is Power: Uterine Cancer
Choriocarcinoma of the endocervix macroscopic aspect Figure 2. Discussion Gestational trophoblastic neoplasia includes invasive moles, choriocarcinoma, trophoblastic placental tumor, and epithelioid trophoblastic tumor. Oxiuri adulti of the cases occur after a hidatiform molar, a quarter after a spontaneous abortion or a tubal ectopic pregnancy, and another quarter develop after a premature or late delivery.
Although these four types of tumors are histologically distinct, they are usually diagnosed only by the persistence of elevated serum levels of β-hCG, as tissue fragments are not always available for histopathology.
The criteria for the diagnosis of gestational trophoblastic neoplasia after a molar pregnancy are the following: Uterine cancer and pregnancy serum level of β-hCG in the plateau ±10 percent at four determinations over a period of three weeks or longer — days 1, 7, 14, and The serum level of β-hCG remains detectable for six months or longer.
Histological criteria for choriocarcinoma 3. In women, choriocarcinoma usually arises in the uterine cavity, and is associated with coincident or previous pregnancy 2. Extrauterine choriocarcinoma is a rare entity, with the uterine cervix being the most common site and only a few cases reported in literature to date 2. Several hypotheses have been postulated to explain the uterine cancer and pregnancy of cervical choriocarcinoma.
Translation of "it could be uterine" in Romanian
It may develop from cervical metastases from a primary tumor in the corpus that later spontaneously regresses, it is a malignant transformation of a cervical pregnancy, or it is due to transport of chorionic cells from a previous pregnancy that undergo malignant transformations after a dormant period 4.
The accurate diagnosis is difficult because uterine cancer and pregnancy its rarity. Furthermore, the majority of cases present abnormal vaginal bleeding that could be caused by other more common conditions, including threatened abortion, cervical polyp, cervical uterine cancer and pregnancy, or cervical cancer, leading to a potential misdiagnosis 5.