Choriocarcinoma associated with ectopic pregnancy. A case report

Rakchya Upreti,Tara Manandhar,Sarita Sitaula

doi:10.3126/bjhs.v4i3.27045

Rakchya Upreti, Tara Manandhar + Show 1 more

Open Access

https://doi.org/10.3126/bjhs.v4i3.27045

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Abstract

Choriocarcinoma is an uncommon malignant neoplasia and even rarer is the Choriocarcinoma associated with ectopic pregnancy. Here, we present a case of Choriocarcinoma in a young lady who had undergone laparoscopic salphingectomy for rupture ectopic pregnancy, and presenting after 2month in hemorrhagic shock requiring urgent laparotomy.

Highlights

Choriocarcinoma, a persistent gesta onal trophoblas c neoplasia (GTN), is a highly malignant tumor arising from the chorionic epithelium
Though themolar pregnancy is the commonest cause for Choriocarcinoma, it can some mes occur following term pregnancy, spontaneous abor on, and even a er ectopic pregnancy.[1,2]
Choriocarcinoma is a persistent gesta onal trophoblas c neoplasia, and is a highly malignant tumor arising from the chorionic epithelium

Summary

INTRODUCTION

Choriocarcinoma, a persistent gesta onal trophoblas c neoplasia (GTN), is a highly malignant tumor arising from the chorionic epithelium. Different treatment modali es including surgery and/or chemotherapy depends upon the age, parity and severity of disease.[3] Here we present a case who had undergone a laparoscopic salpingectomy for tubal ectopic pregnancy and was later diagnosed to have the Choriocarcinoma. Pa ent falls under low risk on WHO prognos c scoring,so she was started with single cycle chemotherapy with Methotrexate and Folinic acid Pa ent hadcompleted her 5th cycle of single agent Chemotherapyand is under regular follow up with serial β HCG level. A 19 years, Para 0, Abor on 1, Ectopic 1, Live 0 presented with Pain lower abdomen for 2 days, Unable to pass urine and per vaginal bleeding for 1 day Two months back she had undergone Laparoscopic right sided salpingectomy for Ruptured Ectopic pregnancy. Inside bladder there was a Jet like projec on of blood vessel in the posterior wall of the bladder wall along with blood

DISCUSSION

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CONCLUSION