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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...

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Detalles Bibliográficos
Autores principales: Du, Emily, Perez, Melissa, Harken, Tabetha, Tseng, Jill H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
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.
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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
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