[Term delivery following successful treatment of choriocarcinoma with brain metastases a case report]
Tehran University Medical Journal [TUMJ]. 2006; 64 (9): 90-93
Dans Persan
| IMEMR
| ID: emr-81391
ABSTRACT
Cerebral metastases from choriocarcinoma are poor prognostic indicator of outcome in both the World Health Organization and FIGO classification systems. Although gestational trophoblastic neoplasia has become the most curable gynecological malignancy, failure rate among 'high-risk' patients is still high despite the use of aggressive multidrug regimens. A 27 year old woman [G4P2Ab1] presented with hemiplegia due to brain metastases of choriocarcinoma one year after spontaneous abortion. She underwent craniotomy and was treated with nine courses of multiple agent etoposide, methotrexate, actinomycin-etoposide and cisplatinum [EMA-EP] regimen combined with whole brain irradiation. She delivered a term healthy child two years after termination of treatment. Multiagent EMA-EP chemotherapy and whole brain irradiation with craniotomy in selected patients preserves fertility and may improve a patient overall prognosis
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Indice:
Méditerranée orientale
Sujet Principal:
Radiothérapie
/
Tumeurs de l'utérus
/
Grossesse
/
Choriocarcinome
/
Accouchement (procédure)
/
Métastase tumorale
Type d'étude:
Enquête cas-témoins / Études cas/témoins
Limites du sujet:
Femelle
/
Humains
langue:
Persan
Texte intégral:
Tehran Univ. Med. J. [TUMJ]
Année:
2006
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