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Vaginal metastasis of gestational trophoblastic neoplasia resulting in hemorrhage: A case report
Complete molar pregnancies complicate approximately 1 in 1500 pregnancies in the United States and result in gestational trophoblastic neoplasia in about 15–20% of these cases. Vaginal metastasis is the second most common site of metastasis and may present with vaginal bleeding and hemorrhage. This...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7527717/ https://www.ncbi.nlm.nih.gov/pubmed/33024806 http://dx.doi.org/10.1016/j.gore.2020.100651 |
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author | Du, Emily Perez, Melissa Harken, Tabetha Tseng, Jill H. |
author_facet | Du, Emily Perez, Melissa Harken, Tabetha Tseng, Jill H. |
author_sort | Du, Emily |
collection | PubMed |
description | Complete molar pregnancies complicate approximately 1 in 1500 pregnancies in the United States and result in gestational trophoblastic neoplasia in about 15–20% of these cases. Vaginal metastasis is the second most common site of metastasis and may present with vaginal bleeding and hemorrhage. This report describes a case of a 19-year-old Hispanic primigravida who presented with hemorrhage from an anterior vaginal wall metastasis two weeks after dilation and curettage for complete molar pregnancy. Hemorrhage resolved after extrusion of the lesion from the anterior vaginal wall. Pathology showed markedly atypical trophoblastic tissue from the lesion. Vaginal involvement of gestational trophoblastic neoplasia can present with life-threatening hemorrhage. |
format | Online Article Text |
id | pubmed-7527717 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-75277172020-10-05 Vaginal metastasis of gestational trophoblastic neoplasia resulting in hemorrhage: A case report Du, Emily Perez, Melissa Harken, Tabetha Tseng, Jill H. Gynecol Oncol Rep Case Report Complete molar pregnancies complicate approximately 1 in 1500 pregnancies in the United States and result in gestational trophoblastic neoplasia in about 15–20% of these cases. Vaginal metastasis is the second most common site of metastasis and may present with vaginal bleeding and hemorrhage. This report describes a case of a 19-year-old Hispanic primigravida who presented with hemorrhage from an anterior vaginal wall metastasis two weeks after dilation and curettage for complete molar pregnancy. Hemorrhage resolved after extrusion of the lesion from the anterior vaginal wall. Pathology showed markedly atypical trophoblastic tissue from the lesion. Vaginal involvement of gestational trophoblastic neoplasia can present with life-threatening hemorrhage. Elsevier 2020-09-23 /pmc/articles/PMC7527717/ /pubmed/33024806 http://dx.doi.org/10.1016/j.gore.2020.100651 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Du, Emily Perez, Melissa Harken, Tabetha Tseng, Jill H. Vaginal metastasis of gestational trophoblastic neoplasia resulting in hemorrhage: A case report |
title | Vaginal metastasis of gestational trophoblastic neoplasia resulting in hemorrhage: A case report |
title_full | Vaginal metastasis of gestational trophoblastic neoplasia resulting in hemorrhage: A case report |
title_fullStr | Vaginal metastasis of gestational trophoblastic neoplasia resulting in hemorrhage: A case report |
title_full_unstemmed | Vaginal metastasis of gestational trophoblastic neoplasia resulting in hemorrhage: A case report |
title_short | Vaginal metastasis of gestational trophoblastic neoplasia resulting in hemorrhage: A case report |
title_sort | vaginal metastasis of gestational trophoblastic neoplasia resulting in hemorrhage: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7527717/ https://www.ncbi.nlm.nih.gov/pubmed/33024806 http://dx.doi.org/10.1016/j.gore.2020.100651 |
work_keys_str_mv | AT duemily vaginalmetastasisofgestationaltrophoblasticneoplasiaresultinginhemorrhageacasereport AT perezmelissa vaginalmetastasisofgestationaltrophoblasticneoplasiaresultinginhemorrhageacasereport AT harkentabetha vaginalmetastasisofgestationaltrophoblasticneoplasiaresultinginhemorrhageacasereport AT tsengjillh vaginalmetastasisofgestationaltrophoblasticneoplasiaresultinginhemorrhageacasereport |