RESUMEN
OBJECTIVE: We present a case of choriocarcinoma in a viable pregnancy with the rare presentation of intractable lower back pain. CASE REPORT: The patient is a 34-year-old multiparous woman with her second pregnancy, and a history of scoliosis with spinal fixation. Her first pregnancy was uneventful, with a term vaginal delivery. She was hospitalized four times due to intractable back pain from 25 to 31 weeks, and terminated at 31 weeks. The placenta was unremarkable on gross examination. Postpartum, the patient developed obstructive ileus, requiring a rectosigmoid resection. She was diagnosed with metastatic choriocarcinoma to the liver, para-aortic lymph nodes, and mesentery. A week later, she developed micro-thrombosis of all limbs, massive ascites, pleural effusion. Patient refused chemotherapy and died on post-operative Day 15. CONCLUSION: Presentation of choriocarcinoma in pregnancy varies widely. Clinicians should consider the differential diagnosis of choriocarcinoma when faced with abnormal unexplained symptoms during pregnancy.
Asunto(s)
Coriocarcinoma/diagnóstico , Neoplasias Hepáticas/patología , Dolor de la Región Lumbar/etiología , Metástasis de la Neoplasia/patología , Complicaciones Neoplásicas del Embarazo/patología , Adulto , Coriocarcinoma/complicaciones , Coriocarcinoma/patología , Coriocarcinoma/secundario , Resultado Fatal , Femenino , Humanos , Periodo Posparto , Embarazo , Neoplasias Uterinas/complicaciones , Neoplasias Uterinas/diagnóstico , Neoplasias Uterinas/patología , Neoplasias Uterinas/cirugíaAsunto(s)
Ablación por Catéter/efectos adversos , Enfermedades de las Trompas Uterinas/cirugía , Menorragia/etiología , Esterilización Tubaria/efectos adversos , Descompresión Quirúrgica , Dilatación y Legrado Uterino , Femenino , Humanos , Laparoscopía , Menorragia/cirugía , Persona de Mediana Edad , SíndromeRESUMEN
OBJECTIVE: Tumors of congenital origin differ in their symptoms and signs, predominant location and prognosis from those occurred later in childhood. To determine whether the prognosis of congenital (infantile) fibrosarcoma in the retroperitoneum, an extremely rare form of soft tissue malignant tumor, can be assessed prenatally. METHODS: We describe a case of this condition diagnosed in utero, including the assessment of the tumor behavior by ultrasound and magnetic resonance imaging. We also review the English language literature in Medline over the past 10 years and describe the management options available in such cases. RESULTS: Our case had precise prenatal findings revealed unfavorable conditions such as bulky tumor mass, spinal metastasis and pulmonary hypoplasia. CONCLUSION: Fetal imaging studies could accurately identify the invasion of tumor. The outcome is usually poor, especially for those fetuses affected by an axial location of the tumor.