恶性滋养细胞肿瘤的临床诊断与鉴别  

Clinical diagnosis and differential diagnosis of malignant trophoblastic neoplasia

作　　者：李卓[1] 张新[1] 于海燕[1] 

机构地区：[1]辽宁省肿瘤医院妇科,沈阳110042

出　　处：《中国肿瘤临床与康复》2013年第4期350-352,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨恶性滋养细胞肿瘤(GTN)的特点及其与相关疾病的鉴别诊断。方法将临床误诊的4例患者临床资料与GTN及妊娠相关疾病的诊断标准进行比较分析。结果从病史,影像学检查包括超声、MR和CT,同时结合血绒毛膜促性腺激素(HCG)动态水平,恶性GTN与葡萄胎、特殊部位妊娠等加以鉴别。结论恶性GTN诊断前需综合分析临床资料包括病史、影像学检查和HCG水平,进行鉴别诊断,排除其他相关疾病。Objective To investigate misdiagnosed cases of malignant gestational trophoblastic neo- plasia （GTN） characteristics, and found that the differential diagnosis of related diseases. Methods The clinical existence of the four cases of misdiagnosis in patients with clinical data to GTN and the diagnostic criteria for pregnancy-related diseases were analyzed. Results From medical history, imaging studies （ul- trasound, MR, CT, etc. ）, combined with the dynamic level of serum HCG, malignant GTN and other pregnancy-related diseases such as hydatidiform mole, a special part of pregnancy can be identified. Con- clusions Required before the diagnosis of malignant GTN repeatedly recognized, comprehensive analysis of clinical data （including medical history, imaging studies, HCG levels, etc. ）, and differential diagnosis, the exclusion of other related diseases.

关 键 词：滋养细胞肿瘤 鉴别诊断 葡萄胎 误诊 

分 类 号：R737.33[医药卫生—肿瘤]