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患者,女、42岁,因反复咳血二次发现肿瘤行左肺下叶切除及左肺尖病灶切除,术后病理为绒癌而入院。查体:一般情况尚可,心肺正常,妇科检查未见异常,胸片示:右肺中上部阴影。入院诊断;①绒癌Ⅲb、②左下肺叶切除术,左肺尖病灶楔形切除术后。入院后即行 EMA/CO 化疗,7个疗程后,血 HCG 仍然很高(9700MZU/ml),改用5-Fu+AT1258+VCR 化疗,但血 HCG 仍然继续上
Patients, female, 42 years old, secondary to repeated hemoptysis tumor left lower lobe resection and excision of the left apical lesion, postoperative pathology choriocarcinoma and admission. Physical examination: the general situation is acceptable, normal heart and lung, gynecological examination showed no abnormalities, chest X-ray showed: the upper shadow of the right lung. Admission diagnosis; ① choriocarcinoma Ⅲ b, ② left lower lobectomy, left tip acute wedge resection. EMA / CO chemotherapy was performed after admission. After 7 courses of treatment, blood HCG was still high (9700 MZU / ml) and switched to chemotherapy with 5-Fu + AT1258 + VCR, but blood HCG still continued