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Short tandem repeat analysis for confirmation of uterine non-gestational choriocarcinoma in a postmenopausal Taiwanese woman.


ABSTRACT:

Rationale

Rare uterine choriocarcinoma can be differentiated gestational from nongestational choriocarcinoma by using short tandem repeats (STRs).

Patient concerns

A 56-year-old Taiwanese woman underwent staging surgery because of suspicion of high-grade endometrial cancer. The pathology-confirmed uterine tumor with syncytiotrophoblasts and decidual change of the endometrium was harvested.

Diagnosis

Uterine nongestational choriocarcinoma.

Interventions

The tumor specimen, the patient's blood, and her husband's blood were drawn for STRs analysis using polymerase chain reaction amplification kit. The genotype of the tumor cells was solely maternal and made the diagnosis of uterine nongestational choriocarcinoma.

Outcome

Adjuvant chemotherapy with etoposide, methotrexate, actinomycin D, cyclophosphamide, vincristine regimen achieved good response in the patient. The patient is now recurrence-free for 12 months.

Lessons

STRs aid precise classification of rare choriocarcinoma. We encourage using the method to analyze suspicious choriocarcinoma.

SUBMITTER: Wu CJ 

PROVIDER: S-EPMC5841992 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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Publications

Short tandem repeat analysis for confirmation of uterine non-gestational choriocarcinoma in a postmenopausal Taiwanese woman.

Wu Chin-Jui CJ   Hwa Hsiao-Lin HL   Chang Wen-Chun WC   Hsu Heng-Cheng HC   Wu Mu-Zon MZ   Sheu Bor-Ching BC  

Medicine 20180201 8


<h4>Rationale</h4>Rare uterine choriocarcinoma can be differentiated gestational from nongestational choriocarcinoma by using short tandem repeats (STRs).<h4>Patient concerns</h4>A 56-year-old Taiwanese woman underwent staging surgery because of suspicion of high-grade endometrial cancer. The pathology-confirmed uterine tumor with syncytiotrophoblasts and decidual change of the endometrium was harvested.<h4>Diagnosis</h4>Uterine nongestational choriocarcinoma.<h4>Interventions</h4>The tumor spec  ...[more]

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