足月产后绒癌

Choriocarcinoma Following Term Gestation

１９８５年１月至１９９４年１２月间共有７１例妊娠性绒癌在我院治疗，其中１８例（２５．４％）继发于足月产后。１８例中４例有葡萄胎病史。患者中位年龄３０岁。其中Ⅲ、Ⅳ期病例１０例，占６６．７％。而其它类型绒癌的晚期病例仅３８．６％。足月产后绒癌的治疗效果取决于有无广泛转移。对于有转移的患者应给予早期联合化疗及综合治疗。

From January 1985 to December 1994,71 Patients with gestational choriocarcinoma were treated in our hospital and 18(25.4) of them had choriocarcinoma following term pregnancy.Four of the 18 patients had a history of molar gestations. Median age was 30 years.Ten (66.7%) of the patients had pulmonary metastases or hepatic metastases.In contrast,disseminated tumor was detected in only 38.6% of our patients with other type choriocarcinoma.The treatment result depends on the extent of metastases.Patietumor with metastic tumor should be treated with early-stage combined chemotherapy and combined treatment.