title: A case of uterine choriocarcinoma with spontaneous rupture twenty-three years following the antecedent pregnancy.
abstract: A 53-year-old woman went into shock with a spontaneous uterine rupture due to choriocarcinoma that occurred 23 years after an elective abortion in the first trimester, and she underwent an emergency hysterectomy. After 4 courses of uneventful postoperative chemotherapy, she suffered from severe pneumonia. Fortunately, however, she recovered and has remained in complete remission at 2.5 years follow-up. This is a case of uterine choriocarcinoma with a spontaneous rupture after the longest latent period yet reported.
authors.affiliation: Department of Obstetrics and Gynecology, Nagoya University School of Medicine, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Okamoto
authors.forename: S
authors.initials: S
authors.lastname: Nomura
authors.forename: T
authors.initials: T
authors.lastname: Nakanishi
authors.forename: S
authors.initials: S
authors.lastname: Yamada
authors.forename: Y
authors.initials: Y
authors.lastname: Tomoda
mesh_terms: D000028:Abortion, Induced; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002822:Choriocarcinoma / Q000150:complications* / Q000628:therapy; D006063:Chorionic Gonadotropin / Q000097:blood; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011014:Pneumonia / Q000150:complications / Q000188:drug therapy; D011183:Postoperative Complications; D011247:Pregnancy; D012769:Shock / Q000209:etiology; D014594:Uterine Neoplasms / Q000150:complications* / Q000628:therapy; D014597:Uterine Rupture / Q000209:etiology* / Q000601:surgery
chemical_list: D006063:Chorionic Gonadotropin