Gestational trophoblastic disease in the delayed postpartum period

Descripción del Articulo

Gestational trophoblastic disease (GTD) is a term used for a group of pregnancyrelated tumors arising from defective proliferation of trophoblastic tissue. Its incidence after term pregnancy is infrequent, being diagnosed in most cases incidentally, due to symptoms of metastasis. We present a case o...

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Detalles Bibliográficos
Autores: De La Vega, Guillermo Antonio, Martino, Martin, Jean Qureshey, Emma
Formato: artículo
Fecha de Publicación:2021
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista SPOG - Revista Peruana de Ginecología y Obstetricia
Lenguaje:español
inglés
OAI Identifier:oai:ojs.spog:article/2327
Enlace del recurso:http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/2327
Nivel de acceso:acceso abierto
Materia:Postpartum hemorrhage; Trophoblastic neoplasms
Hemorragia posparto; Neoplasias trofoblásticas
Descripción
Sumario:Gestational trophoblastic disease (GTD) is a term used for a group of pregnancyrelated tumors arising from defective proliferation of trophoblastic tissue. Its incidence after term pregnancy is infrequent, being diagnosed in most cases incidentally, due to symptoms of metastasis. We present a case of GTD that occurred 9 weeks after a vaginal delivery at term. The serum beta-human chorionic gonadotropin (β-hCG) level was 38 084 mIU/mL and a chest CT scan showed multiple pulmonary nodules. The patient received actinomycin D for 3 cycles. The β-hCG normalized after the third cycle and the patient remained disease-free for 12 months after diagnosis. The clinical presentation and challenges in diagnosing GTD in the late postpartum period are described.
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