case_images: PMC9931483_01
case_images: Beta-human chorionic gonadotropin (beta-hCG) trend. The first two arrows indicate the doses of methotrexate. The third arrow indicates the initiation of 4 doses of actinomycin-D that occurred every 2 weeks. The fourth arrow indicates one additional dose of actinomycin-D given just prior to hysterectomy with left oophorectomy. beta-hCG has remained 0 since surgery.
case_images: CRIOG2023-1901858.001.jpg
case_images: PMC9931483_01_CRIOG2023-1901858.001.jpg
case_images: fig1
case_images: Three weeks later, the beta-hCG was <0.5 IU/L and has remained undetectable for 5 months.  Figure 1 demonstrates the beta-hCG trend during her work-up and treatment.