论文部分内容阅读
部分性葡萄胎是否发生恶变,国内外尚有争议。1988年我院先后收治2例部分性葡萄胎恶性变病例,均有病理证实。报道如下: 例1,30岁,孕4产1,因停经70天、阴道流血20余天于1988年6月6日入院。查子宫孕16周大小,血hCG165260mIU/ml。次日清宫,刮出葡萄组织约550ml,并有部分绒毛组织。病理结果为部分性葡萄胎,滋养细胞轻、中度增生.以5-氟脲嘧啶(5-FU)预防性化疗一疗程后随诊。患者于葡萄胎清宫后9周因血hCG逐渐上升,肺部出现阴影诊为侵蚀性葡萄胎开始化疗,并于第4疗程行次广泛子宫切除术,术
Partial mole malignant change occurs at home and abroad is still controversial. In 1988, our hospital admitted 2 cases of partial mole malignant transformation cases, both pathological confirmed. Reported as follows: Example 1,30 years old, pregnant 4 produce 1, because of menopause 70 days, vaginal bleeding more than 20 days in June 6, 1988 admission. Check the uterus 16 weeks pregnant, blood hCG165260mIU / ml. Qingyuan the next day, scrape out about 550ml grape tissue, and some villous tissue. The pathological results were partial hydatidiform mole, light and moderate trophoblast proliferation, followed by 5-fluorouracil (5-FU) prophylactic chemotherapy after a course of treatment. Patients in the hydatidiform mole after 9 weeks due to blood hCG increased gradually, the shadow of the lung was diagnosed as invasive hydatidiform mole chemotherapy, and in the first four courses of extensive hysterectomy