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Ginecología y obstetricia de México
versão impressa ISSN 0300-9041
Resumo
LOZANO-VIDAL, Manuel et al. Diagnosis and surgical treatment of a patient with gestational trophoblastic neoplasia. Ginecol. obstet. Méx. [online]. 2023, vol.91, n.3, pp.210-217. Epub 19-Maio-2023. ISSN 0300-9041. https://doi.org/10.24245/gom.v91i3.7748.
BACKGROUND:
Gestational trophoblastic neoplasia is one of a group of conditions resulting from abnormal trophoblast proliferation with capacity for invasion and metastasis.
CLINICAL CASE:
42-year-old asymptomatic patient with ultrasound suspicion of hydatidiform mole. Uterine curettage and anatomopathological study confirmed the diagnosis of complete hydatidiform mole. With the consecutive quantification of three elevations of β-HCG a diagnosis of gestational trophoblastic neoplasia was made. It was staged as stage I, low-risk, and the patient agreed to hysterectomy plus bilateral salpingectomy. At subsequent follow-up the patient was found to be asymptomatic, with negative serial determinations of β-HCG and vaginal ultrasound scans without findings.
CONCLUSION:
Hysterectomy with bilateral salpingectomy may be the definitive treatment in selected cases of trophoblastic neoplasia. The available evidence is scarce and further research is needed in this field.
Palavras-chave : Gestational trophoblastic neoplasia; Trophoblast; Hydatidiform mole; Curettage; Complete hydatidiform mole; Bilateral salpingectomy.