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一、病例摘要患者47岁,因“停经2+个月,恶心、呕吐半个月”于2016年6月30日入院。入院后3次血β-h CG:1 000 000.00 IU/L(持续高水平平台状态);血常规:白细胞:3.4×109/L,嗜酸性粒细胞:0.01×109/L,血红蛋白:126 g/L,血小板:164×109/L。超声:子宫体积增大,宫底及宫体后壁呈蜂窝样改变,考虑滋养细胞疾病。磁共振见子宫后壁椭圆形肿块,大小9.6 cm×8.2 cm×8.3 cm,边缘大部分清楚,局部模糊,符合妊娠滋养细胞肿瘤征象。胸部CT(图1)提示:左肺上叶及下叶前内基底段胸膜下散在
First, the summary of the case The patient was 47 years old, because “2 months after menopause, nausea and vomiting half a month” was admitted on June 30, 2016. Blood β-h CG: 1 000 000.00 IU / L (continuous high level platform state); blood routine: white blood cells: 3.4 × 109 / L, eosinophils: 0.01 × 109 / L, hemoglobin: 126 g / L, platelets: 164 × 109 / L. Ultrasound: Uterine volume increases, the posterior wall of the uterus and the body was honeycomb-like changes, consider trophoblastic disease. MRI see the posterior wall of the uterus oval tumor, the size of 9.6 cm × 8.2 cm × 8.3 cm, the edge of most of the clear, local fuzzy, in line with gestational trophoblastic tumor signs. Chest CT (Figure 1) Tip: The left upper lobe and the anterior lobe of the anterior basal segment scattered subplerally