Browsing by Author "Das, Sunil Kumar"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Recurrent Metastatic Choriocarcinoma Responsive to Etoposide and Cisplatin with Etoposide, Methotrexate, and Dactinomycin: A Case Report(Nepal Medical Association, 2022) Das, Sunil Kumar; Shahi, Arun; Panthi, Ram ChandraAbstract Choriocarcinoma is a malignant trophoblastic tumour usually of placental origin. It is characterized by early metastasis to the brain and lungs. With early detection, it has a better prognosis with treatment. We report a case of 18 years female at 26 weeks of gestation in her third pregnancy who had a history of treatment for metastatic gestational trophoblastic neoplasm with chemotherapy and radiotherapy two years back. Therefore, she was managed as a case of recurrent choriocarcinoma with brain metastasis with chemotherapy (etoposide and cisplatin with etoposide, methotrexate, and dactinomycin) and was responsive. Her symptoms resolved and β-human chorionic gonadotropin dropped to normal value (<2.39 mIU/ml) which has shown that timely diagnosis and management can be vital for the successful treatment of brain metastasis.Publication Takayasu's Arteritis with Subcutaneous Nodules in a 4-year -old Child: A Case Report(Nepal Medical Association, 2020) Das, Sunil Kumar; Dahal, Aakrit; Shrestha, Nikhil; Tnawanasu, Sajal; Sharma, SubashAbstract: A 4-year-old girl who presented with pain in the abdomen, subcutaneous nodule, fever and was later diagnosed with Takayasu arteritis . Oral corticosteroid and methotrexate were started. Childhood TA should be kept in differential diagnosis when presented with subcutaneous nodules and increased acute phase reactants.