IMR Press / EJGO / Volume 32 / Issue 5 / pii/1630980920120-2016039940

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Gestational choriocarcinoma arising in a tubal ectopic pregnancy: case report
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1 Department of Obstetrics and Gynecology, Baskent University Faculty of Medicine, Istanbul Hospital, Istanbul
2 Department of Pathology; 3Department of Obstetrics and Gynecology, Sanliurfa Maternity Hospital, Sanliurfa (Turkey)
Eur. J. Gynaecol. Oncol. 2011, 32(5), 592–593;
Published: 10 October 2011
Abstract

Objectives: Gestational choriocarcinoma associated with ectopic pregnancy is an extremely rare event. Here we report one of these cases. Case: A 38-year-old, gravida 4, parity 3, patient was admitted to the emergency room with the complaint of abdominal pain. Peritoneal irritation signs were present and serum hCG level was found to be greater than 15000 mUI/ml. Transvaginal ultrasound images were compatible with ruptured tubal ectopic pregnancy. Hemoperitoneum and ruptured tuba were found at laparatomy and a right salpingectomy was performed. The histopathological evaluation reported the lesion as primary tubal choriocarcinoma. The patient was referred to a tertiary care center for treatment and follow-up. Conclusion: Adequate monitoring of β-hCG titers and careful examinations of pathologic specimens are important to avoid misdiagnosis of ectopic gestational trophoblastic disease.
Keywords
Choriocarcinoma
Ectopic pregnancy
Gestational trophoblastic disease
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