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Re: choriocarcinomaFrom: ali budi harsono,Dr. (alicmh@Plasa.com)Mon Sep 22 07:06:29 2003
At Mon, 3 Sep 2001, Dr.Paban Sharma wrote: > >A 34 yrs lady presented with heavy PV bleeding with abdiminal >tenderness. Ultrasound showed free fluid in the abdomino pelvic region >with vague mass in the pelvis attached with uterus. Immediate >laporatomy done and found bleeding fungating growth from uterine fundus. >She servived after Hysterectomy and several units of blood >transfusion.Hystopathology confirmed Choriocarcinoma.We wanted to start >EMA-CO but still She is too weak . So we started Methotrexate/ Folinic >acid . Now she completed first course. She has vaginal metastasis >palpable., but no lung lesion.She can not afford serum B hcg. > Hoping a better suggestion.
-- We have a several patient, choriocarcinoma and vaginal metastasis. In clinical finding, some time vaginal metastasis has a serious conditions, althought this stadium is II. So the stadium clacification is didn't perform the clinical conditions. In my hospital."Hasan Sadikin " in Bandung. Vaginal metastasis usually we exterpation perform, and continuing with multi agent chemotherapy. Sometime we have aproblem with bleeding after exterpation.
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