Clinics in diagnostic imaging (9). Gestational trophoblastic disease with liver metastases.
A 28-year-old Caucasian woman who had a missed abortion was subsequently found to have a partial hydatidiform mole. Despite twice repeated suction and evacuation of the uterus, her serum beta-human chorionic gonadotropin levels remained persistently elevated. Angiography demonstrated a large vascular uterine tumour and two small metastases in the liver. The patients was classified as having gestational trophoblastic disease stage IV. She responded well to multiagent chemotherapy. The role of imaging in the section of gestational trophoblastic disease is discussed.
Helpert
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Department of Diagnostic Radiology, University of Hong Kong, Queen Mary Hospital, Hong Kong.
Peh
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D000328:Adult; D000792:Angiography; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000000981:diagnostic imaging* / Q000473:pathology; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D009367:Neoplasm Staging; D011247:Pregnancy; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology
D018997:Chorionic Gonadotropin, beta Subunit, Human