Diagnostic challenges in cornual epithelioid trophoblastic tumor
Autor: | Chiung-Ru Lai, Feng-Ying Fang, Peng-Hui Peter Wang, Beng-Shian Huang, Yiu-Tai Li, Ming-Shyen Yen, Chih-Yao Chen, Ming-Jie Yang |
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Rok vydání: | 2014 |
Předmět: |
Adult
Laparoscopic surgery medicine.medical_specialty Exploratory laparotomy medicine.drug_class medicine.medical_treatment Trophoblastic Neoplasms epithelioid trophoblastic tumor lcsh:Gynecology and obstetrics Adnexal mass Diagnosis Differential gestational trophoblastic neoplasm Pregnancy Obstetrics and Gynaecology medicine Humans Epithelioid Trophoblastic Tumor Pathological lcsh:RG1-991 Ultrasonography Ectopic pregnancy business.industry Obstetrics and Gynecology medicine.disease Pregnancy Ectopic Surgery immunohistochemistry Uterine Neoplasms Carcinoma Squamous Cell Immunohistochemistry Female Gonadotropin business |
Zdroj: | Taiwanese Journal of Obstetrics & Gynecology, Vol 53, Iss 2, Pp 235-238 (2014) |
ISSN: | 1028-4559 |
DOI: | 10.1016/j.tjog.2014.03.002 |
Popis: | Objective We present a case of primary cornual epithelioid trophoblastic tumor (ETT) because of its rarity and diagnostic and therapeutic challenge. Case report A 28-year-old woman, gravida 1, para 1, who missed menstruation for 3 months, had an elevated β-human chorionic gonadotropin serum level of 2764 mIU/mL, an absence of intrauterine pregnancy, and the presence of an adnexal mass detected by transvaginal ultrasound. As an ectopic pregnancy was suspected, laparoscopic surgery was performed and showed a right corneal mass. Complete excision of the tumor was done through exploratory laparotomy. Frozen pathology favored the diagnosis of squamous cell carcinoma. Since there was no apparent tumor at other sites, no additional surgery was done. The final pathology showed ETT. Primary ETT is often misdiagnosed as an ectopic pregnancy, leading to delayed treatment, and poses a diagnostic challenge in distinguishing it from squamous cell carcinoma during pathological examination. Conclusion Careful evaluation and avoidance of overtreatment are emphasized. |
Databáze: | OpenAIRE |
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