假象人类胆管性腺激素在摩拉怀孕的情况下
Hirokazu Usui1,2, Asuka Sato2, Eri Katayama2
1Department of Obstetrics and Gynecology, Reproductive Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
Oxford medical case reports
|May 24, 2024
概括
幻象人类胆性淋巴激素 (hCG) 可以复杂化妊娠 trofhoblastic 疾病管理. 尿液hCG查对于诊断幻体hCG至关重要,防止不必要的治疗.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 临床化学 临床化学
- 在瘤学瘤学.
背景情况:
- 准确地解释持久的,低的人类胆性淋巴激素 (hCG) 水平对于管理妊娠热囊细胞疾病 (GTD) 至关重要.
- 误解hCG可能导致不适当的干预,如化疗或切除子宫,或不合理的治疗修改.
- 幻体hCG,通常是由异性恋抗体引起的,提出了一个诊断挑战.
研究的目的:
- 报告一个完整的hydatidiform分子之后的幻象hCG病例.
- 突出尿液hCG查在区分真实hCG和幻象hCG的诊断实用性.
- 强调在怀疑幻体hCG时,使用不同的测试进行连续测试的重要性.
主要方法:
- 最初的诊断涉及连续的血清和尿液hCG测试.
- 尿液hCG查是由于尿液中缺乏免疫球蛋白而使用的.
- 当疑似幻体hCG时,使用不同的hCG测定来确认.
主要成果:
- 尽管初始尿液hCG检测结果呈阴性,血清hCG水平仍然呈阳性,导致幻影hCG诊断.
- 在分娩后,尿液hCG水平下降,但持续存在.
- 随后使用不同的测定方法进行测试,在血清和尿液中证实了阴性hCG,在5年内证实没有hCG.
结论:
- 幻体hCG可以模仿真正的hCG升高,需要仔细的诊断评估.
- 尿液hCG查是诊断虚幻hCG的一个不可或缺的工具.
- 使用替代测试的连续测试对于在疑似幻状hCG病例中进行准确的诊断和适当的患者管理至关重要.
更多相关视频
05:36Author Spotlight: Inducing Pseudopregnancy in Female Mice Without the Need for Vasectomized Males Prior to Non-Surgical Embryo Transfer or Artificial Insemination
Published on: July 7, 2023
8.0K
07:04A Novel Use of Three-dimensional High-frequency Ultrasonography for Early Pregnancy Characterization in the Mouse
Published on: October 24, 2017
8.2K
相关概念视频
01:24Gonadal and Placental Hormones
1.4K
The gonads, namely the testes in males and the ovaries in females, are pivotal in producing gonadal hormones that orchestrate the intricate processes of sexual development and reproduction.
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair...
1.4K
01:27Ovarian Cycle
1.1K
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
1.1K