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患者35岁,已婚。2003年3月因“停经2月,B超发现异常”就诊于宁波市某医院。拟诊“葡萄胎”行清宫术,术后病理提示:水泡样胎块。术后1个月发现血HCG明显升高,同时B超提示子宫壁病灶存在,诊断为“妊娠滋养细胞肿瘤Ⅰ期:5分”(国际妇产科联盟2000分期及评分)。用5Fu单药方案化疗1个疗程,因耐药,改用EMA-CO方案化疗6个疗程,于第6次EMA-CO方案化疗前血HCG降至正常。化疗后1年内定期检查血HCG均正常。2006年1月因“停经2月”再次就诊于宁波
Patient 35 years old, married. March 2003 due to “menopause in February, B-found abnormal ” visited a hospital in Ningbo City. To be diagnosed “mole” line curettage, postoperative pathology tips: blister-like block. One month after surgery, blood HCG was significantly increased, while B-ultrasound prompted the presence of uterine wall lesions, diagnosed as “gestational trophoblastic tumor stage I: 5” (International Union of Gynecology and Obstetrics 2000 staging and score). Chemotherapy with 5Fu single regimen of a course of treatment, due to drug resistance, switch to EMA-CO regimen of 6 courses of chemotherapy, 6th EMA-CO regimen before the blood HCG dropped to normal. Regular chemotherapy within 1 year after blood HCG were normal. January 2006 due to “menopause February ” again visited Ningbo