- 期刊
Adrenal Choriocarcinoma with Spontaneous Rupture and Hemoperitoneum: Report of a Case
腎上腺絨毛膜癌產生自發性破裂及腹腔內出血：病例報告
摘要
本文報告一位電腦斷層及腹部超音波顯示，右側腎上腺有一8×4×4公分之腫瘤個案。病患於住院期間，突然發生腹膜腔出血及休克，緊急開腹手術後發現，其主要出血點為腎上腺腫瘤上之一破裂處，經實施右腎及腎上腺切除後成功達到止血。病理報告顯示，該腎上腺腫瘤為一轉移性絨毛膜癌。病患術後接受數次化學治療，術後追蹤一年，並未發現有復發跡象。
關鍵字
無資料並列摘要
We present a case with an 8×8×4 cm tumor of the right adrenal gland, which was revealed by abdominal ultrasonography and computed tomography (CT). Hemoperitoneum with hypovolemic shock, due to the adrenal tumor rupture, occurred during the patient's hospitalization. Laparotomy was performed for hemostasis. The major bleeder was located in the perforation hole of the right adrenal tumor. The tumor and the right kidney were excised in toto and the pathology turned out to be choriocarcinoma. Adjuvant chemotherapy with etoposide, methotrexate, actinomycin-D, cyclophosphamide, and vincristine (EMA/CO) was given to the patient. There was no recurrence of choriocarcinoma one year after the operation and the patient's serum, β-hCG remained normal.
延伸閱讀
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