妊娠合并绒毛膜癌肝转移破裂出血1例

摘要

Choriocarcinoma is a malignant tumor that originates from the fetal chorionic villi during pregnancy.Intrauterine pregnancy with liver metastasis of choriocarcinoma is an extremely rare aggressive tumor and it is usually associated with a poor prognosis.Strict diagnostic criteria,not an unconventional diagnostic maneuvers,it is needed to diagonose choriocarcinoma during a normal pregnancy.In this article,1 case of intrauterine pregnancy with liver metastasis of choriocarcinoma from the First Affiliated Hospital of Dali University is reported to investigate the incidence of intrauterine pregnancy with liver metastasis of choriocarcinoma,clinical features,diagnosis and treatment.The history,clinical features,diagnosis and treatment process of this case is analyzed.It is aimed to sum up the experience to improve the diagnosis rate and to reduce the missed diagnosis rate and the mortality rate.%绒毛膜癌(绒癌)是起源于妊娠期间胎儿绒毛膜的一种恶性肿瘤.宫内妊娠合并绒癌肝转移在临床上十分罕见,且预后不良.妊娠期间绒癌的确诊需要严格的诊断标准而非一般的诊断思路.本文对大理大学第一附属医院收治的1例宫内妊娠合并绒癌肝转移患者的病史、临床特点、辅助检查及治疗过程总结分析,探讨妊娠合并绒癌转移的发病情况、临床特征、诊断依据及治疗要点.总结经验,提高确诊率,降低漏诊率和病死率.