From: Intestinal metastasis from choriocarcinoma: a case series and literature review
Age | Symptom | Time until last pregnancy | hCG level before treatment (IU/mL) | Hb level before treatment (g/L) | Tumor markers before treatment (ug/L) | Primary uterine lesion | Metastatic lesion | Treatment | Outcome | |
---|---|---|---|---|---|---|---|---|---|---|
Patient A | 29 y | melanorrhagia | 5 years | 17,660 | 107 | CEA: 1.3 CA125: 31.9 | Yes | Small intestine, lung, liver | Small bowel lesion resection and anastomosis, chemotherapy | Alive |
Patient B | 46 y | Vaginal bleeding, right lower abdominal pain, nausea and vomiting | 15 years | > 90,000 | 63 | CA125: 46.6 | Yes | Colon, lung, liver | Colon lesion resection and anastomosis, hysteroscopy, chemotherapy | Died 22 months after diagnosis |
Patient C | 36 y | melanorrhagia | 11 months | 112,477 | 79 | CEA: 1.4 CA125: 79.9 | Yes | Small intestine, lung, liver, kidney, brain | Small bowel lesion resection and anastomosis, chemotherapy | Alive |
Patient D | 26 y | melanorrhagia | 51 days | > 1,000,000 | 79 | CEA: 11.96 | No | Small intestine, lung, liver | Chemotherapy | Alive |