DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20171451

An unusual presentation of choriocarcinoma

Amishrita Lakku Rao, Rama Sarala Devi

Abstract


Choriocarcinoma is the most malignant growth arising from the uterine body. Incidence of choriocarcinoma following vesicular mole is 29-83%. Diagnosis of choriocarcinoma is by histopathology only. In the present case 22year old woman with history of vesicular mole evacuation 8 months back suddenly landed in shock. During her irregular follow up, misleading ultrasonographic findings and clinical features delayed the diagnosis of advanced choriocarcinoma till it perforated through the uterus and patient landed in shock due to massive hemoperitoneum.

We report this case because of its unusual presentation which led to diagnostic dilemma and mismanagement.


Keywords


Beta hCG, Choriocarcinoma, Methotrexate, Quiescent GTD

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References


Howkins and Bourne Shaw’s text book of gynaecology 16th Edition. Chapter 39 Cancers of Endometrium, Uterus and Fallopian tube; 514-516.

Berek and Novak’s Gynaecology 15th Edition Chapter 39 Gestational Trophoblastic Disease Pages; 1467-1468,1471-1472,1474-1475.

Chemotherapy Research and Pract Volume 2011 Article ID http://dx.doi.org/10.1155/2011/ by Taymaa May Donald P Goldstein Ross S Berkowitz.

DC Dutta Text Book of Gynecology 7th Edition. Chapter 24; 2015:302.

Cole La New Discoveries on biology and detection of Human Chorionic Gonadotrophin. Reprod Biol Endocrinol 2009;7:8.