Journal of International Obstetrics and Gynecology ›› 2022, Vol. 49 ›› Issue (2): 238-240.doi: 10.12280/gjfckx.20210655

• Research on Gynecological Malignancies:Case Report • Previous Articles    

Choriocarcinoma of Extremely High Risk with Hypercalcemia: A Case Report and Literature Review

CHENG Zhe, LIU Yu-zhen(), ZHANG Hai-feng   

  1. Weifang Medical University, Weifang 261000, Shandong Province, China (CHENG Zhe);Affiliated Hospital of Weifang Medical University, Weifang 261000, Shandong Province, China (LIU Yu-zhen, ZHANG Hai-feng)
  • Received:2021-07-12 Published:2022-04-15 Online:2022-05-09
  • Contact: LIU Yu-zhen E-mail:lyz0412@wfmc.edu.cn

Abstract:

Choriocarcinoma is a kind of gynecological tumor with extremely high mortality. With the rational application of chemotherapeutic drugs, choriocarcinoma can also get a satisfactory curative effect. Hypercalcemia is often associated with malignant tumors, but the incidence of hypercalcemia in choriocarcinoma is very low. We report a case of diagnosis and treatment of extremely high-risk choriocarcinoma (Ⅱ, 13) characterized by β-hCG up to 1 400 588.00 IU/L and hypercalcemia in blood. During the process of diagnosis and treatment, the patients were treated successfully by a combination of treatment about calcium reduction, chemotherapy and surgery. After β-hCG decreased to the normal range, the patient refused to receive consolidation chemotherapy. After 6 months of close follow-up, we don′t observe the disease bounces back. This case provides a new thinking for the clinical manifestation, diagnosis, treatment and follow-up of choriocarcinoma.

Key words: Choriocarcinoma, Choriocarcinoma,non-gestational, Chorionic gonadotropin,beta subunit,human, Hypercalcemia, Antineoplastic combined chemotherapy protocols