title: Spontaneous renal hemorrhage caused by invasive mole: a case report.
abstract: METHODS
  The authors report a case with spontaneous renal hemorrhage caused by invasive mole. The diagnosis was gestational trophoblastic disease (GTD), with metastasis to brain, kidneys, and lungs at Stage IV. The patient was given etoposide-methotrexate-actinomycin D plus cyclophosphamide-vincristine (EMACO) treatment regimen for 11 times including three times with consolidation chemotherapies. Laparoscopically-assisted vaginal hysterectomy (LAVH) + laparoscopic-assisted left renal excision + evacuation of the left perirenal hematoma were performed during the eighth chemotherapy.
  
  
  CONCLUSIONS
  Post-operational pathological examination revealed trophoblasts within the lesions present in uterine fundus and the residue images of a few trophoblasts present in the left renal mass.
authors.forename: S
authors.initials: S
authors.lastname: Xiao
authors.forename: Q
authors.initials: Q
authors.lastname: Mu
authors.forename: Y
authors.initials: Y
authors.lastname: Wan
authors.forename: M
authors.initials: M
authors.lastname: Xue
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D003609:Dactinomycin / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D002820:Hydatidiform Mole, Invasive / Q000150:complications* / Q000188:drug therapy; D007674:Kidney Diseases / Q000209:etiology*; D002955:Leucovorin / Q000008:administration & dosage; D008727:Methotrexate / Q000008:administration & dosage; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000150:complications* / Q000188:drug therapy; D014750:Vincristine / Q000008:administration & dosage
chemical_list: D003609:Dactinomycin; D014750:Vincristine; D005047:Etoposide; D004317:Doxorubicin; D002955:Leucovorin; D008727:Methotrexate