Abstract
Gestational trophoblastic neoplasia (GTN) derives from the abnormal proliferation of placental trophoblastic cells and it has various of clinical manifestations. However, some patients have had the metastases before admitted to hospital or see the doctor due to the metastatic site symptom. Here we report a case of a young woman followed fatal hepatorrhexis with haemorrhage and shock twice after admitted to hospital and she is diagnosed as choriocarcinoma with liver and lung metastasis finally.
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