A case report of successful treatment of gestational trophoblastic neoplasia with uterine artery embolization and chemotherapy

Abstract

Introduction: Gestational trophoblastic neoplasia (GTN) is a rare disorder, especially in nulliparous women. This study introduced a patient with GTN who underwent successful and uncomplicated treatment of uterine artery embolization and chemotherapy. Case presentation: The patient was a 29-year-old woman with a history of two pregnancies who referred to Amiralmomeni hospital of Semnan with complaint of severe vaginal bleeding. On ultrasonography, the hypo-echo mass with cystic changes was seen in favor of GTN. Due to the young age of the patient and to preserve the uterus and re-pregnancy, treatment was performed with uterine artery embolization and then chemotherapy, and treatment was successful. Conclusion: In patients with GTN, uterine artery embolization along with chemotherapy can be considered an effective treatment with minimal complications, especially in young nulliparous women who are interested in preserving the uterus.

Keywords

• chemotherapy
• gestational trophoblastic neoplasia
• molar pregnancy
• uterine artery embolization