Gastric Cancer with persistently elevated hCG in a 35 yr old
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Case
The patient is a 35-year old G4P2012 with a last menstrual period of December 18, 2010 who presented to the emergency room for the evaluation of failed surgical and medical management of a suspected ectopic pregnancy. Approximately 4–6 weeks prior to emergency room visit, patient was treated with methotrexate for asymptomatic ectopic pregnancy with a beta-human chorionic gonadotropin (?-hCG) of 54 (0–?5?MIU/mL). After an inappropriate response to medical therapy, a persistent ?-hCG of 53, she continued to have intermittent bleeding and anemia, for which she received two units of packed red blood cells. After counseling, patient agreed to proceed with laparoscopy and dilation and curettage (D&C). At the time of surgery, there was no evidence of an ectopic pregnancy, and abdominal anatomy appeared grossly normal. The pathology from the D&C showed proliferative endometrium.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335484/
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