Coriocarcinoma cervical metastásico en mujer de 45 años con antecedente de HSIL / Metastatic choriocarcinoma in a 45-year-old woman with a previous high-grade squamous intraepithelial lesion
Clín. investig. ginecol. obstet. (Ed. impr.)
; 38(1): 27-31, ene.-feb. 2011. ilus, tab
Article
in Spanish
| IBECS
| ID: ibc-96956
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
El coriocarcinoma es una neoplasia epitelial rara, perteneciente al grupo de las enfermedades trofoblásticas gestacionales. Se caracteriza por la presencia de células del sincitotrofoblasto, citotrofoblasto y trofoblasto intermedio, que pueden presentar invasión tisular y vascular. Resumen Mujer de 45 años, última gestación 10 años atrás. Recibe tratamiento de lesión escamosa intraepitelial de alto grado (HSIL). Tras conización, presenta sangrados irregulares. Descartada la posibilidad de enfermedad cervical residual o patología de origen endometrial, nos orientamos hacia el diagnóstico de coriocarcinoma cuando la paciente presenta hemoptisis por metástasis pulmonares. Se realiza revisión de los criterios diagnósticos, manifestaciones clínicas y pronóstico (AU)
ABSTRACT
Choriocarcinoma is a rare epithelioid neoplasm belonging to the group of gestational trophoblastic disease. The histologic feature is syncytiotrophoblastic, cytotrophoblastic and intermediate trophoblastic cells which can permeate among the myometrial fibers and vessels. AbstractWe report a case of choriocarcinoma diagnosed in a 45-year-old woman 10 years after her last pregnancy. She was treated for a high-grade squamous intraepithelial lesion (HSIL). After surgical treatment, she showed irregular vaginal bleeding. Once residual cervical disease and endometrial disease had been excluded, we suspected metastatic gestational trophoblastic disease when the patient showed hemoptysis due to pulmonary metastasis. We review the diagnostic criteria, clinical expression and prognosis of this entity (AU)
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
31574
/
Choriocarcinoma, Non-gestational
Type of study:
Etiology study
/
Prognostic study
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Clín. investig. ginecol. obstet. (Ed. impr.)
Year:
2011
Document type:
Article
Institution/Affiliation country:
Hospital Virgen de la Cinta/España