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患者女性,57岁。孕1产1,绝经后2年,不规则阴道出血6个月。外院诊刮病理诊断为内膜组织腺体呈乳头状增生伴异型性;B超示子宫底实性占位,与内膜关系密切;MRI示宫底偏左侧,可见大小4.5 cm×4.3 cm×4.9 cm欠清晰的肿物。血清HCG 30318.0(IU/L)明显升高。临床诊断为绒毛膜癌。随后进行6次EP化疗,动态监测血清HCG30318.0—2778.0—1252.0—16.04—5.7—2.67—2.10—0.95,
Patient female, 57 years old. Pregnancy 1 1, 2 years after menopause, irregular vaginal bleeding for 6 months. The diagnosis of endometrial gynecology pathological diagnosis of endometrial gland papillary hyperplasia with atypia; B-ultrasound showed the endometrial solid occupying a close relationship with the endometrium; MRI showed the left side of the fundus, showing the size of 4.5 cm × 4.3 cm × 4.9 cm less clear mass. Serum HCG 30318.0 (IU / L) was significantly higher. Clinical diagnosis of choriocarcinoma. Followed by 6 EP chemotherapy, dynamic monitoring of serum HCG30318.0-2778.0-1252.0-16.04-5.7-2.67-2.10-0.95,