Robotic-assisted Laparoscopic Management of Chemoresistant Myoinvasive Complete Molar Pregnancy

被引:1
作者
Riley, Kristin [1 ,2 ]
Newell, Jordan [3 ]
Zaino, Richard [3 ]
Kesterson, Joshua [1 ,2 ]
机构
[1] Penn State Hershey Med Ctr, Dept Obstet & Gynecol, Div Minimally Invas Gynecol Surg, Hershey, PA 17033 USA
[2] Penn State Hershey Med Ctr, Dept Obstet & Gynecol, Div Gynecol Oncol, Hershey, PA 17033 USA
[3] Penn State Hershey Med Ctr, Dept Pathol, Hershey, PA 17033 USA
关键词
Gestational trophoblastic disease; Hysterectomy; Laparoscopy; Robotic surgical procedures; GESTATIONAL TROPHOBLASTIC NEOPLASIA; DISEASE;
D O I
10.1016/j.jmig.2015.05.012
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Postmolar malignant conditions are rare after evacuation of a complete molar pregnancy. Both medical and surgical management have a role in the treatment of persistent gestational trophoblastic neoplasia. Treatment decisions must account for the natural history of the disease, previous therapies, site of disease, and the patient's desire for uterine preservation. We report on a woman who presented with chemotherapy-refractory persistent gestational trophoblastic disease (GTD). She was found to have isolated, persistent trophoblastic tissue within the uterine myometrium. She underwent a robotic-assisted laparoscopic hysterectomy with curative results. Minimally invasive surgical management may be an option for treatment of women with isolated myoinvasive GTD. (C) 2015 AAGL. All rights reserved.
引用
收藏
页码:1100 / 1103
页数:4
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