Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease

Suzuki, Hideharu; Chigusa, Yoshitsugu; Hamanishi, Junzo; Mandai, Masaki; Kondoh, Eiji

doi:10.1155/2020/2417428

Cited by 3 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The ultrasound criteria have remained relatively the same, but more recently some authors recommend the addition of 3D ultrasound, which allows a more precise diagnosis [9] . However, in the event of difficult ultrasound, diagnostic doubt, difficulty in locating a PE and if the clinical condition allows, pelvic MRI remains a very useful complementary examination [10] , [11] . Classically, the initial BHCG rate is often higher than for tubal EPs [8] .…”

Section: Discussionmentioning

confidence: 99%

Interstitial pregnancy is one of the most serious and uncommon ectopic pregnancies: Case report

Slaoui¹,

Slaoui

Zeraidi³

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Interstitial pregnancy is one of the most serious and uncommon ectopic pregnancies: Case report

Slaoui¹,

Slaoui

Zeraidi³

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…The other 2 cases had a serum hCG level <1,000 mIU/mL and should be followed up closely. Difficult diagnosis by ultrasound imaging in some patients can be assisted by magnetic resonance imaging (MRI) (14). In addition, since most GTN patients have lung metastasis, chest radiographs and lung CT examination can also be used as a differentiator in suspected GTN patients.…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of gestational trophoblastic neoplasia as ectopic pregnancy: A 15-year retrospective study

2022

View full text Add to dashboard Cite

BackgroundGestational trophoblastic neoplasia is an uncommon disease, whose clinical manifestations are similar to ectopic pregnancy, thus some rare pelvic lesion can be misdiagnosed as ectopic pregnancy.AimsThis study was presented to investigate the characteristics of gestational trophoblastic neoplasia misdiagnosed as ectopic pregnancy and reduce the misdiagnosis.MethodsThe clinicopathological data for 14 cases of gestational trophoblastic neoplasia misdiagnosed as ectopic pregnancy at West China Second Hospital Sichuan University from January 2006 to December 2020 were retrospectively analyzed.ResultsThe main clinical manifestations were amenorrhea, abnormal vaginal bleeding, and abdominal pain. At initial diagnosis, the serum hCG level was >10,000 mIU/mL in 5 patients and <10,000 mIU/mL in 7 patients, and a positive urine pregnancy test alone was found in 2 patients. Vaginal ultrasonography showed no abnormalities in 7 cases, adnexal mass in 5 cases, and tubal thickening in 2 cases. The patient's previous pregnancy was an abortion in 7 cases, full-term in 4 cases, and a hydatidiform mole in 3 cases. Clinical stage: 3 cases were stage I, 3 were stage II, 7 were stage III, and 1 case was stage IV (liver and spleen metastases). The median FIGO prognostic score was 13.5 points (12–21 points), with 9 cases having a score >13 points (very high risk). From 14 patients, only 3 had molar pregnancy previously. Only 3 patients had no metastasis at GTN diagnosis (from these 3, only one after molar pregnancy). After chemotherapy alone or in combination with surgery, all patients survived, with a median follow-up of 84 months (23–102 months).ConclusionIf we have positive hCG, without a sonographic topic gestation confirmation, associated with metastatic lesions, the GTN diagnosis should be considered instead of ectopic pregnancy, if the patient have had a pregnancy once during her life.

show abstract

“…Surgical resection confirmed endometriosis [88]. Moreover, the differential diagnosis of EP and gestational trophoblastic neoplasias (GTNs) may also be challenging as both pathologies can present with pelvic masses and elevated beta-hCG levels [89].…”

Section: Ectopic Pregnancymentioning

confidence: 99%

Identifying the deceiver: the non-neoplastic mimickers of genital system neoplasms

et al. 2021

View full text Add to dashboard Cite

Tumors of the genital system are common and imaging is of crucial importance for their detection and diagnosis. Several non-neoplastic diseases may mimic these tumors and differential diagnosis may be difficult in certain cases. Misdiagnosing non-neoplastic diseases as tumor may prompt unnecessary medical treatment or surgical interventions. In this article, we aimed to present the imaging characteristics of non-neoplastic diseases of the male and female genital systems that may mimic neoplastic processes. Increasing awareness of the imaging specialists to these entities may have a severe positive impact on the management of these patients.

show abstract

Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease

Cited by 3 publications

References 11 publications

Interstitial pregnancy is one of the most serious and uncommon ectopic pregnancies: Case report

Interstitial pregnancy is one of the most serious and uncommon ectopic pregnancies: Case report

Misdiagnosis of gestational trophoblastic neoplasia as ectopic pregnancy: A 15-year retrospective study

Identifying the deceiver: the non-neoplastic mimickers of genital system neoplasms

Contact Info

Product

Resources

About