Author (year) | Age (years) | Antecedent pregnancy | Presentation and tumor size (mm) | β-hCG level (IU/L) | Extrauterine trophoblastic tumor | Surgical treatment | Pathological diagnosis | Chemotherapy | Response to chemotherapy | Follow-up (months) | Outcome |
---|---|---|---|---|---|---|---|---|---|---|---|
Bailey et al., [16] (2003) | Young | FTVD, 3 years | Vaginal spotting, left lower anterior pelvis abdominal wall, 20 × 20 | 317,735 | YES | Laparoscopic local resection | CC | EMA-CO | Complete response | 24 | NED |
Mukherjee et al., [17] (2013) | 41 | FTVD, 13 years | Anterior abdominal wall and iliopsoas mass, 77 × 51 × 34 | 87,643 | NO | Cytoreductive laparotomy (PLND, omentectomy, and peritoneal biopsies) | CC | EMA-CO | Complete response | 18 | NED |
Davis et al., [18] (2015) | 49 | FTCS, 16 years | Umbilical hernia, multiple calcified nodules in the peritoneal cavity, largest diameter 85 | 6.9 | YES. | TAH-BSO, omentectomy, right ureterolysis, and extensive resection of the pelvic peritoneum | ETT | EMA-EP prior to surgery | No response | 18 | Stable disease: residual small bowel mesentery |
Davis et al., [18] (2015) | 44 | FTCS, 22 years | Pain at a prior cesarean section scar, diameter 90 | Unknown | YES | Diagnostic laparoscopy, resection of abdominal wall mass | ETT | EMA-EP | Partial response | 26 | Progressive disease: pubic symphysis metastasis |
Hsiue et al., [19] (2017) | 54 | FTSCS, 23 years | Anterior abdominal cesarean scar mass, 57 × 32 enlarged to diameter 76 Postoperative recurrence: diameter 46 and multiple intestinal metastases | 8.36 | YES | 1. Incisional biopsy 2. Wide excision 3. Resected recurrent left lower abdominal wall tumor and multiple intestinal metastases | ETT | 1. Prior to surgery: EMA-EP 2. After the second surgery: ifosfamide, etoposide | 1. No response 2. Under follow-up | 2 | 2.6-cm size of peritoneal tumor at anterior pelvic cavity |
Our patient | 39 | FTSCS, 3 years | Anterior abdominal wall cesarean scar mass, fingertip size | < 1.2 | YES | 1. Wide local excision, twice 2. TAH-BSO | 90% ETT + 10% CC | Prior to the first surgery: EP | No response | 12 | NED |