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目的探讨恶性滋养细胞肿瘤(GTN)的特点及其与相关疾病的鉴别诊断。方法将临床误诊的4例患者临床资料与GTN及妊娠相关疾病的诊断标准进行比较分析。结果从病史,影像学检查包括超声、MR和CT,同时结合血绒毛膜促性腺激素(HCG)动态水平,恶性GTN与葡萄胎、特殊部位妊娠等加以鉴别。结论恶性GTN诊断前需综合分析临床资料包括病史、影像学检查和HCG水平,进行鉴别诊断,排除其他相关疾病。
Objective To investigate the characteristics of malignant trophoblastic tumor (GTN) and its differential diagnosis with related diseases. Methods The clinical data of 4 patients with clinical misdiagnosis were compared with the diagnostic criteria of GTN and pregnancy-related diseases. Results From the history and imaging examination, including ultrasound, MR and CT, combined with the dynamic level of HCG, the malignant GTN and hydatidiform mole, the pregnancy of special parts were identified. Conclusion Malignant GTN needs comprehensive analysis of clinical data, including medical history, imaging examination and HCG levels before diagnosis, to make differential diagnosis and to exclude other related diseases.