Gestational trophoblastic disease presenting as a large metastasis to the finger.
Cutaneous metastases of gestational trophoblastic disease are extremely uncommon. A patient with metastatic, poor prognosis disease and a large metastatic lesion on her left fifth digit is presented. The clinical course and complete response to EMACO chemotherapy are outlined. The presence of metastatic disease in a reproductive-age woman requires consideration of gestational trophoblastic disease in the differential diagnosis.
Department of Obstetrics and Gynecology, Pennsylvania State University-M.S. Hershey Medical Center, Hershey 17033, USA.
D J
DJ
Hetzel
G J
GJ
Olt
J I
JI
Sorosky
R
R
Mortel
K
K
Singapuri
E S
ES
Podczaski
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001859:Bone Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000556:secondary*; D003609:Dactinomycin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004317:Doxorubicin / Q000627:therapeutic use; D005047:Etoposide / Q000627:therapeutic use; D005260:Female; D005385:Fingers; D006801:Humans; D002955:Leucovorin / Q000627:therapeutic use; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D014328:Trophoblastic Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000556:secondary*; D014594:Uterine Neoplasms / Q000473:pathology*; D014750:Vincristine / Q000627:therapeutic use
D003609:Dactinomycin; D014750:Vincristine; D005047:Etoposide; D004317:Doxorubicin; D002955:Leucovorin; D008727:Methotrexate