Acute cardiopulmonary failure in a young woman with high-risk gestational trophoblastic neoplasia: A case of induction chemotherapy during extracorporeal membrane oxygenation.
Gynecol Oncol Rep 2021;
37:100849. [PMID:
34458540 PMCID:
PMC8379276 DOI:
10.1016/j.gore.2021.100849]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 08/10/2021] [Accepted: 08/12/2021] [Indexed: 11/20/2022] Open
Abstract
Early use of extracorporeal membrane oxygenation (ECMO) is valuable when pulmonary tumor burden from GTN is high.
Induction chemotherapy of cisplatin and etoposide was administered during ECMO successfully.
The induction chemotherapy regimen led to exponential decline in beta-HCG after 1 cycle.
Collaboration of subspecialists is necessary to treat coexisting malignancy and cardiopulmonary failure associated with GTN.
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