PENYAKIT TROFOBLAS GANAS PADA WANITA USIA 50 TAHUN : SEBUAH LAPORAN KASUS
DOI:
https://doi.org/10.53555/nnmhs.v9i3.1622Keywords:
Penyakit trofoblas ganas, dispepsia, USGAbstract
Salah satu jenis dari penyakit trofoblas ganas adalah koriokarsinoma. Penegakan diagnosis koriokarsinoma ditegakkan dengan pemeriksaan radiologi, biopsi endometrium, dan pengukuran kadar serum beta-human chorionic gonadotropin (hCG). Kami melaporkan seorang wanita usia 50 tahun P2A0 dengan keluhan muntah lebih dari 4x, dengan nyeri perut dirasakan pasien setiap muntah. Kasus ini menarik karena pasien memiliki keluhan utama dispepsia, yang bukan merupakan gejala khas koriokarsinoma. Pada pemeriksaan vagina ditemukan ostium uteri eksternum tertutup, uterus teraba membesar seukuran tinju dewasa. Pemeriksaan ultrasonografi abdomen ditemukan gambaran uterus membesar dengan cystic degeneration component myometrium, dengan kesan uterine choriocarcinoma. Pasien didiagnosis dengan koriokarsinoma, kemudian dilakukan pemeriksaan beta hCG, dan dilakukan kuretase. Jaringan yang terkumpul diambil untuk di lakukan pemeriksaan histopatologi. Pasien kemudian dianjurkan untuk dirujuk ke RSPAD Gatot subroto saat kontrol.
References
Katke RD. Atypical presentation of uterine choriocarcinoma a case report with review of literature. Clin Cancer Investig J 2015;4(6):713–716.
Lurain JR. Gestational trophoblastic disease I: epidemiology, pathology, clinical presentation and diagnosis of gestational trophoblastic disease, and management of hydatidiform mole. Am J Obstet Gynecol 2010;531–539.
Hasbani G El, Balaghi A, Tarabine K, et al. Uterine choriocarcinoma diagnosed 11?years after menopause: A case report. Case Reports Women’s Heal [Internet] 2018 [cited 2022 Aug 22];20:e00076. Available from: /pmc/articles/PMC6156800/
Shetty S, Polnaya R. Atypical Presentation of Choriocarcinoma: A Report of Two Cases. J South Asian Fed Obstet Gynaecol 2020;12(4):265–266.
Balagopal PG, Pandey M, Chandramohan K, Somanathan T, Kumar A. Unusual presentation of choriocarcinoma. World J Surg Oncol [Internet] 2003 [cited 2022 Aug 22];1. Available from: https://www.researchgate.net/publication/10737874_Unusual_presentation_of_choriocarcinoma
Rafanan LF, Greenberg H, Rondeau NU, Mulla ZD, Boman DA. Primary choriocarcinoma in postmenopausal women: Two case reports and review of the Texas Cancer Registry. Gynecol Oncol Reports [Internet] 2017 [cited 2022 Aug 22];22:69. Available from: /pmc/articles/PMC5643075/
Purnamasari L. Faktor Risiko, Klasifikasi, dan Terapi Sindrom Dispepsia. CDK 2017;44(12):870–873.
Saloum N, Abdelhafeez M, Ibrahim S, Kambal A. Ultrasound and MRI findings in Gestational trophoblastic disease (GTD) . Eur Soc Radiol 2018;1–15.
Primitivo A, Agostinho L, Vanessa. Choriocarcinoma: a rapidly progressive unusual tumor. Eurorad 2020;1–15.
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