Persistent gestational trophoblastic disease presenting as left hemiparesis in a Jamaican teenager
West Indian med. j
;
51(2): 116-118, Jun. 2002.
Article
in English
| LILACS
| ID: lil-333276
ABSTRACT
A 19-year-old woman, who delivered a macerated stillborn at 32 weeks' gestation and had persistent postpartum vaginal bleeding, presented with a left hemiparesis three and a half months after delivery. A clinical diagnosis of persistent gestational trophoblastic disease (GTD) was made, based on quantitative serum beta-hCG of more than 200,000 IU/ml, cannon ball metastases on chest X-ray and two ring enhancing lesions, metastases, in the right parietal lobe on Computed Axial Tomography (CAT) scan of the brain. Despite combination chemotherapy, with methotrexate, cyclophosphamide and actinomycin D, her condition worsened and she died.
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Index:
LILACS (Americas)
Main subject:
Paresis
/
Pregnancy Complications, Neoplastic
/
Uterine Neoplasms
/
Brain Neoplasms
/
Trophoblastic Neoplasms
Type of study:
Diagnostic study
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
English Caribbean
/
Jamaica
Language:
English
Journal:
West Indian med. j
Journal subject:
Medicine
Year:
2002
Type:
Article
Affiliation country:
Jamaica
Institution/Affiliation country:
Mandeville Public Hospital/JM
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