Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease
A well-known typical feature of ectopic pregnancy is an evident gestational sac structure outside of the uterus. However, some cases show atypical appearance that is described as a heterogeneous hypervascular mass. We report two cases of ectopic pregnancy that presented heterogeneous findings mimick...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2020/2417428 |
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| author | Haruka Suzuki Yoshitsugu Chigusa Junzo Hamanishi Masaki Mandai Eiji Kondoh |
| author_facet | Haruka Suzuki Yoshitsugu Chigusa Junzo Hamanishi Masaki Mandai Eiji Kondoh |
| author_sort | Haruka Suzuki |
| collection | DOAJ |
| description | A well-known typical feature of ectopic pregnancy is an evident gestational sac structure outside of the uterus. However, some cases show atypical appearance that is described as a heterogeneous hypervascular mass. We report two cases of ectopic pregnancy that presented heterogeneous findings mimicking gestational trophoblastic diseases but were correctly diagnosed as ectopic pregnancies on MRI. The first case was an interstitial pregnancy in which the patient underwent surgical treatment. The second case was a cesarean scar pregnancy that was treated conservatively but showed spurious enlargement of pregnancy-related lesions after the treatment. Both cases lacked myometrial invasion on MRI, and the patients were diagnosed with ectopic pregnancies. Invasive findings on MRI may discriminate ectopic pregnancy from trophoblastic tumors and avoid unnecessary hysterectomy. |
| format | Article |
| id | doaj-art-b65ae673f19b478383e35df6fdd43202 |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-b65ae673f19b478383e35df6fdd432022025-08-20T02:23:09ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922020-01-01202010.1155/2020/24174282417428Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic DiseaseHaruka Suzuki0Yoshitsugu Chigusa1Junzo Hamanishi2Masaki Mandai3Eiji Kondoh4Department of Gynecology and Obstetrics, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo, Kyoto 606-8507, JapanDepartment of Gynecology and Obstetrics, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo, Kyoto 606-8507, JapanDepartment of Gynecology and Obstetrics, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo, Kyoto 606-8507, JapanDepartment of Gynecology and Obstetrics, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo, Kyoto 606-8507, JapanDepartment of Gynecology and Obstetrics, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo, Kyoto 606-8507, JapanA well-known typical feature of ectopic pregnancy is an evident gestational sac structure outside of the uterus. However, some cases show atypical appearance that is described as a heterogeneous hypervascular mass. We report two cases of ectopic pregnancy that presented heterogeneous findings mimicking gestational trophoblastic diseases but were correctly diagnosed as ectopic pregnancies on MRI. The first case was an interstitial pregnancy in which the patient underwent surgical treatment. The second case was a cesarean scar pregnancy that was treated conservatively but showed spurious enlargement of pregnancy-related lesions after the treatment. Both cases lacked myometrial invasion on MRI, and the patients were diagnosed with ectopic pregnancies. Invasive findings on MRI may discriminate ectopic pregnancy from trophoblastic tumors and avoid unnecessary hysterectomy.http://dx.doi.org/10.1155/2020/2417428 |
| spellingShingle | Haruka Suzuki Yoshitsugu Chigusa Junzo Hamanishi Masaki Mandai Eiji Kondoh Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease Case Reports in Obstetrics and Gynecology |
| title | Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease |
| title_full | Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease |
| title_fullStr | Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease |
| title_full_unstemmed | Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease |
| title_short | Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease |
| title_sort | two cases of ectopic pregnancy mimicking gestational trophoblastic disease |
| url | http://dx.doi.org/10.1155/2020/2417428 |
| work_keys_str_mv | AT harukasuzuki twocasesofectopicpregnancymimickinggestationaltrophoblasticdisease AT yoshitsuguchigusa twocasesofectopicpregnancymimickinggestationaltrophoblasticdisease AT junzohamanishi twocasesofectopicpregnancymimickinggestationaltrophoblasticdisease AT masakimandai twocasesofectopicpregnancymimickinggestationaltrophoblasticdisease AT eijikondoh twocasesofectopicpregnancymimickinggestationaltrophoblasticdisease |