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Spontaneous renal hemorrhage caused by invasive mole: a case report

  • S. Xiao1
  • Q. Mu1
  • Y. Wan1
  • M. Xue1,*,

1Department of Gynecology, the Third Xiangya Hospital of Central South University, Changsha, Hunan, China

DOI: 10.12892/ejgo2789.2016 Vol.37,Issue 3,June 2016 pp.417-419

Published: 10 June 2016

*Corresponding Author(s): M. Xue E-mail: xiaosquirrel@163.com

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Abstract

Case: The authors report a case with spontaneous renal hemorrhage caused by invasive mole. The diagnosis was gestational trophoblastic disease (GTD), with metastasis to brain, kidneys, and lungs at Stage IV. The patient was given etoposide-methotrexateactinomycin D plus cyclophosphamide-vincristine (EMACO) treatment regimen for 11 times including three times with consolidation chemotherapies. Laparoscopically-assisted vaginal hysterectomy (LAVH) + laparoscopic-assisted left renal excision + evacuation of the left perirenal hematoma were performed during the eighth chemotherapy. Conclusion: Post-operational pathological examination revealed trophoblasts within the lesions present in uterine fundus and the residue images of a few trophoblasts present in the left renal mass.

Keywords

Metastasis of invasive mole renal; Chemotherapy; Spontaneous rupture of kidney.

Cite and Share

S. Xiao,Q. Mu,Y. Wan,M. Xue. Spontaneous renal hemorrhage caused by invasive mole: a case report. European Journal of Gynaecological Oncology. 2016. 37(3);417-419.

URL:

https://www.ejgo.net/articles/10.12892/ejgo2789.2016

References

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[2] Lal A., Singhal M., Kumar S., Bag S., Singh S.K., Khandelwal N.: ‘Bilateral renal and jejunal metastasis of choriocarcinoma presenting as spontaneous renal hemorrhage”. Cancer Imaging, 2009, 9, 56.

[3] Wang F., Cai H.X., Zhang L.P., Zhang Q.: “Hematuria as Initial presentation of gestational choriocarcinoma:a case report and literature review”. The Practical Journal of Cancer, 2013, 28, 84.

[4] May T., Goldstein D.P., Berkowitz R.S.: “Current chemotherapeutic management of patients with gestational trophoblastic neoplasia”. Chemother. Res. Pract., 2011, 2011, 806256.

[5] Doll K.M., Soper J.T.: “The role of surgery in the management of gestational trophoblastic neoplasia”. Obstet. Gynecol. Surv., 2013, 68, 533.

[6] Kohorn E.I.: “The new FIGO 2000 staging and risk factor scoring system for gestational trophoblastic disease: description and critical assessment”. Int. J. Gynecol. Cancer, 2001, 11, 73.

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