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Placental-site trophoblastic tumors: a case of resistant pulmonary metastasis.
Cole, Michael E; Broaddus, Russell; Thaker, Premal; Landen, Charles; Freedman, Ralph S.
Afiliación
  • Cole ME; Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, B-1100 Medical Center North, Nashville, TN 37232-2519, USA. michael.cole@vanderbilt.edu
Nat Clin Pract Oncol ; 5(3): 171-5, 2008 Mar.
Article en En | MEDLINE | ID: mdl-18227827
Background A 52-year-old woman whose last known pregnancy was 12 years before presentation was diagnosed with mixed trophoblastic tumor that included placental-site trophoblastic tumor, epithelioid trophoblastic tumor, and focal choriocarcinoma. There was no clear evidence of metastatic disease on initial evaluation. Investigations Histopathology, laboratory tests, immunohistochemistry, chest X-ray, CT scan of the chest, abdomen, and pelvis, fine-needle aspiration biopsy, PET-CT scan.Diagnosis Metastatic chemoresistant placental-site trophoblastic tumor positive for EGFR, VEGF receptor, and platelet-derived growth factor receptor. Management Abdominal hysterectomy, bilateral salpingo-oophorectomy, pelvic radiation, etoposide, methotrexate, actinomycin D/cyclophosphamide and vincristine chemotherapy, left thoracotomy with wedge resection, taxol, etoposide, cisplatin therapy, right thoracotomy with wedge resection.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Uterinas / Tumor Trofoblástico Localizado en la Placenta / Tumor Mixto Maligno / Resistencia a Antineoplásicos / Neoplasias Pulmonares Límite: Female / Humans / Middle aged / Pregnancy Idioma: En Revista: Nat Clin Pract Oncol Asunto de la revista: NEOPLASIAS Año: 2008 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Uterinas / Tumor Trofoblástico Localizado en la Placenta / Tumor Mixto Maligno / Resistencia a Antineoplásicos / Neoplasias Pulmonares Límite: Female / Humans / Middle aged / Pregnancy Idioma: En Revista: Nat Clin Pract Oncol Asunto de la revista: NEOPLASIAS Año: 2008 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido