Choriocarcinoma in Cesarean Scar Site: A Case Report

سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 228

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شناسه ملی سند علمی:

JR_JMREH-9-2_013

تاریخ نمایه سازی: 11 اردیبهشت 1400

چکیده مقاله:

Background & aim: Cesarean scar pregnancy is an ectopic pregnancy implanted in the myometrium at the site of a previous cesarean section scar and is the rarest kind of ectopic pregnancy. The present study present a case of choriocarcinoma (CC) in the cesarean scar. The clinical course, findings, and treatment plan are discussed. Case report: A ۴۱-years old multi-gravid woman with a history of one previous cesarean section and three subsequent abortions was admitted to the hospital. She suffered from an unknown abnormal vaginal bleeding for two months. Β-HCG titer was ۱,۰۰۰ IU/L and the report of sonography showed no gestational sac. Accordingly, the patient was diagnosed with ectopic pregnancy in the cesarean scar site and, therefore, weekly usage of methotrexate was prescribed for her. Since she did not respond to the treatment, she was referred to our department in the Faculty of Medicine. The evaluation showed mass invasion through the entire uterine wall. The uterus preservation was not possible, therefore, total hysterectomy was performed. The pathology report confirmed CC in the cesarean scar. Conclusion: Based on previous studies, as the number of cesarean sections increases, the possibility of complications rises, as well.  Cesarean scars implantation of CC is one of the rare complications of caesarean section. The probability of a gestational trophoblastic disease should be considered in any woman during her pregnancy. Early detection and proper management of the complications can result in a decrease in morbidity and mortality.

نویسندگان

Helena Azimi

Assistant professor, Fellowship of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Laya Shirinzadeh

Gynecologist, Fellowship of Gynecologic Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Amir Hosein Jafarian

Associate Professor, Department of Radiology, School of Medicine, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

Behroz Davachi

Associate Professor, Department of Radiology, School of Medicine, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

Somayeh Bolandi

Gynecologist, Fellowship of Gynecologic Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Sepideh Hoseini

Resident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Tahereh Zavvari

BCs in Midwifery, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Zohreh Yousefi

Professor, Department of Obstetrics and Gynecology, Fellowship of Gynecologic Oncology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Fatemeh Shirzadeh

BCs in Nursing, Department of Nursing , School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

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