侵袭性鼹鼠肾病综合征1例报告并文献复习

Yu Zhao
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引用次数: 0

摘要

侵袭性葡萄胎(IM)是一种恶性肿瘤,是妊娠滋养细胞肿瘤(GTN)的一种,其特征是棘球蚴组织侵入子宫肌层或远处转移[1]。IM最常见的转移部位是阴道、肺部和大脑。IM最常见的症状是阴道不规则出血,但也可能发现转移瘤出血引起的其他症状,如咳血和神经系统症状[2]。子宫内膜侵犯、绒毛肿胀和滋养层增生通常被认为是IM的病理特征。IM的临床诊断主要取决于病史、临床症状、实验室检查和影像学检查。病理结果是诊断的最基本依据。基于及时全面化疗的良好预后[3]。在本报告中,我们描述了一名患有NS的患者,其中IM的潜在诊断是由偶然性和高度临床怀疑共同做出的,并通过提高对这种罕见疾病的认识来改善内科医生的患者护理。
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Invasive Mole with Nephrotic Syndrome: A Case Report with Literature Review
Invasive mole (IM), a malignant tumor, is a form of gestational trophoblastic neoplasia (GTN), which are characterized by invasive hydatid tissue into the myometrium or distant metastasis [1]. The most common transfer locations for IM are the vagina, lungs and brain. The most common symptom of IM is irregular vaginal bleeding, but further symptoms caused by bleeding in the metastases may also be detected, such as hemoptysis and neurological symptoms [2]. Myometrial invasion, swollen villi and hyperplastic trophoblast are often considered to be the pathological features of IM. IM′s clinical diagnosis mainly depends on medical history, clinical symptoms, laboratory tests and examination using imaging. Pathological results are the most essential basis for diagnosis. Good prognosis based on timely and comprehensive chemotherapy [3]. In this report, we describe a patient presenting with NS in which the underlying diagnosis of IM was made by a combination of chance and a high level of clinical suspicion, and to improve patient care amongst internists by heightening awareness of this uncommon condition.
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