Dysgerminoma Masquerading as Gestational Trophoblastic Neoplasia

dc.contributor.authorBlackwell, Conneren
dc.contributor.authorMcLeish, Shianen
dc.contributor.authorIglesias, Daviden
dc.contributor.authorArmbruster, Shannon D.en
dc.date.accessioned2023-02-13T13:36:57Zen
dc.date.available2023-02-13T13:36:57Zen
dc.date.issued2023-02-08en
dc.date.updated2023-02-12T08:00:24Zen
dc.description.abstractBackground: Persistent elevation in beta-human chorionic gonadotropin (β-hCG) following a pregnancy is concerning for gestational trophoblastic neoplasia (GTN). However, the differential diagnosis should remain broad during the evaluation process. Case: A 34-year-old G3P3 presented with elevated β-hCG four months after cesarean delivery with bilateral tubal ligation. The patient was treated with methotrexate for a presumed new ectopic pregnancy. Due to persistent β-hCG elevation, she received actinomycin-D for GTN treatment. After completing chemotherapy, her β-hCG increased. The patient underwent a laparoscopic hysterectomy with unplanned left oophorectomy due to its nodular appearance at the time of surgery. Pathology confirmed a dysgerminoma of the ovary and benign uterus. Conclusion: Although dysgerminomas are uncommon, they should be considered when β-hCG levels remain elevated despite therapies for more common pathologies.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationConner Blackwell, Shian McLeish, David Iglesias, and Shannon D. Armbruster, “Dysgerminoma Masquerading as Gestational Trophoblastic Neoplasia,” Case Reports in Obstetrics and Gynecology, vol. 2023, Article ID 1901858, 4 pages, 2023. doi:10.1155/2023/1901858en
dc.identifier.doihttps://doi.org/10.1155/2023/1901858en
dc.identifier.urihttp://hdl.handle.net/10919/113808en
dc.language.isoenen
dc.publisherHindawien
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.holderCopyright © 2023 Conner Blackwell et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.titleDysgerminoma Masquerading as Gestational Trophoblastic Neoplasiaen
dc.title.serialCase Reports in Obstetrics and Gynecologyen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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