Post Date April, 15 2023
Choriocarcinoma is an uncommon gynecological disease, but it is also one of the major diseases. After falling ill, we must immediately and reasonably treat it, while paying attention to patient care.
Can choriocarcinoma still lead to pregnancy?
During the treatment of choriocarcinoma, doctors will try to consider the situation of those who have not given birth and try to preserve the uterine and ovarian tissues. If the uterus or ovaries are not removed during the treatment process, pregnancy can be achieved after cure.
But after the cure of swan hair cancer, women who require a reproductive period should be strictly contraception for 2 years to prevent recurrence of cancer. During the contraceptive process, in order to prevent β- Hcg value is affected by contraceptive factors, so it is better to use male condom and female vaginal septum as a dual contraceptive method.
Choriocarcinoma metastasis
1. Pulmonary metastasis: The most common site of metastasis for choriocarcinoma, where patients experience symptoms such as hemoptysis, chest pain, and suffocation, and metastatic shadows can be seen on X-ray films of the lungs.
2. Vaginal metastasis: second only to the lungs, occupying the second place. Its characteristic is a purplish blue nodule that protrudes from the vaginal mucosal surface and is a solid mass. If the surface ruptures, it can cause massive bleeding, often seen on the anterior wall of the vagina or below the urethra.
3. Brain metastasis: Multiple lung metastases are common causes of death in swan choriocarcinoma patients. Initially, it is the stage of cerebral arterial thrombosis, with local ischemia, sudden falls, aphasia, blindness, and recovery after a few seconds or minutes. In the later stage, it can cause brain tissue bleeding, with the main symptoms being headache, hemiplegia, vomiting, balance disorders, visual impairment, aphasia, high fever, spasms, coma, and sudden death of the patient.
4. Liver and spleen metastasis: Upper abdominal distension, jaundice, physical examination of the liver, splenomegaly, and B-ultrasound indicating metastatic lesions in the liver and spleen.
5. Gastrointestinal metastasis: Vomiting and tarry stools appear, and gastrointestinal barium meal fluoroscopy shows metastatic lesions in the digestive tract.
6. Urinary system metastasis: hematuria, etc.
Treatment of choriocarcinoma
1. Chemotherapy: In general early cases, a single drug can be used, with priority given to 5-fluorouracil (5-Fu). The condition is urgent or in its final stage, requiring two or more medications. Take medication strictly under the doctor's instructions.
2. Surgical treatment: When the condition is severe, chemotherapy cannot completely conquer or HCG decreases slowly during treatment, surgical treatment must be considered. Generally, surgery involves a hysterectomy.
3. Radiation therapy: If in the late stage, patients have difficulty with surgery or do not show significant regression after multiple courses of chemotherapy, radiation therapy should be considered.
