Dysgerminoma Masquerading as Gestational Trophoblastic Neoplasia
Background. Persistent elevation in beta-human chorionic gonadotropin (β-hCG) following a pregnancy is concerning for gestational trophoblastic neoplasia (GTN). However, the differential diagnosis should remain broad during the evaluation process. Case. A 34-year-old G3P3 presented with elevated β-h...
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Hindawi Limited,
2023-01-01T00:00:00Z.
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| LEADER | 00000 am a22000003u 4500 | ||
|---|---|---|---|
| 001 | doaj_c154e5257f5d475599346607674fe19f | ||
| 042 | |a dc | ||
| 100 | 1 | 0 | |a Conner Blackwell |e author |
| 700 | 1 | 0 | |a Shian McLeish |e author |
| 700 | 1 | 0 | |a David Iglesias |e author |
| 700 | 1 | 0 | |a Shannon D. Armbruster |e author |
| 245 | 0 | 0 | |a Dysgerminoma Masquerading as Gestational Trophoblastic Neoplasia |
| 260 | |b Hindawi Limited, |c 2023-01-01T00:00:00Z. | ||
| 500 | |a 2090-6692 | ||
| 500 | |a 10.1155/2023/1901858 | ||
| 520 | |a Background. Persistent elevation in beta-human chorionic gonadotropin (β-hCG) following a pregnancy is concerning for gestational trophoblastic neoplasia (GTN). However, the differential diagnosis should remain broad during the evaluation process. Case. A 34-year-old G3P3 presented with elevated β-hCG four months after cesarean delivery with bilateral tubal ligation. The patient was treated with methotrexate for a presumed new ectopic pregnancy. Due to persistent β-hCG elevation, she received actinomycin-D for GTN treatment. After completing chemotherapy, her β-hCG increased. The patient underwent a laparoscopic hysterectomy with unplanned left oophorectomy due to its nodular appearance at the time of surgery. Pathology confirmed a dysgerminoma of the ovary and benign uterus. Conclusion. Although dysgerminomas are uncommon, they should be considered when β-hCG levels remain elevated despite therapies for more common pathologies. | ||
| 546 | |a EN | ||
| 690 | |a Gynecology and obstetrics | ||
| 690 | |a RG1-991 | ||
| 655 | 7 | |a article |2 local | |
| 786 | 0 | |n Case Reports in Obstetrics and Gynecology, Vol 2023 (2023) | |
| 787 | 0 | |n http://dx.doi.org/10.1155/2023/1901858 | |
| 787 | 0 | |n https://doaj.org/toc/2090-6692 | |
| 856 | 4 | 1 | |u https://doaj.org/article/c154e5257f5d475599346607674fe19f |z Connect to this object online. |