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我院从1963年2月至1985年3月,共收治绒毛膜癌144例,其中17例初诊为其他疾病,后经病检和/或hCG测定证实为绒癌,误诊率为11.8％。为吸取教训,现作一回顾性分析。临床资料一、年龄及末次妊娠性质最大50岁,最小22岁,平均34岁。末次妊娠足月产7例,葡萄胎6例,人工流产4例。末次妊娠至发病的时间最短为足月产后11十月,最长为足月产后18年。二、误诊情况 10例为我院其他科收治。在4例因胸痛、胸闷、咳血就诊者中3例误诊为原发性肺癌,均行肺叶切除,另1例误诊为肺结核,抗痨治疗5个月无效;1例昏迷就诊,误诊为颅内占位性病变,行右额叶肿瘤切除;1例右偏瘫、失语、误诊为脑血管
In our hospital, from February 1963 to March 1985, a total of 144 cases of choriocarcinoma were treated, of which 17 cases were newly diagnosed as other diseases and confirmed as choriocarcinoma by pathological examination and / or hCG test. The misdiagnosis rate was 11.8%. To draw lessons, we make a retrospective analysis. Clinical data First, the age and the nature of the last pregnancy 50 years old, minimum 22 years old, average 34 years old. The last full-term pregnancy in 7 cases, 6 cases of hydatidiform mole, 4 cases of induced abortion. The last pregnancy to the onset of the shortest duration of 11 months after full-term, the longest for 18 years after full-term. Second, misdiagnosis of 10 cases admitted to other departments of our hospital. In 4 cases of patients with chest pain, chest tightness and hemoptysis, 3 cases were misdiagnosed as primary lung cancer, all underwent lobectomy, and the other 1 case was misdiagnosed as pulmonary tuberculosis. Anti-tuberculosis treatment was ineffective for 5 months. One case was coma, Intrahepatic lesions, the right frontal lobectomy resection; 1 case of right hemiplegia, aphasia, misdiagnosed as cerebrovascular