Successful treatment of a high-risk choriocarcinoma in Figo stage IV (WHO score 12).
In the present report, a case of high-risk choriocarcinoma (Figo stage IV, WHO score 12) with persisting vaginal and urethral bleedings is described. In addition to a course of multiagent chemotherapy, arterial embolization of both iliac vessels using Gianturco coils was carried out. This caused a dramatic improvement of the patient's general condition. A subsequently performed laparatomy with extirpation of the uterus and both adnexa finally led to remission.
Frigo
P
P
Department of Gynecology and Obstetrics, University Hospital of Vienna, Austria.
Lang
C
C
Joura
E
E
Grabenwöger
F
F
Kölbl
H
H
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001027:Aortography; D002822:Choriocarcinoma / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D003131:Combined Modality Therapy; D004107:Dilatation and Curettage; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy; D009367:Neoplasm Staging; D014057:Tomography, X-Ray Computed; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000628:therapy*