Choriocarcinoma Presenting as Intracerebral Hemarrhage and No Evident Primary: A Rare Presentation

Abstract

Choriocarcinoma is the most malignant tumor of gestational trophoblastic neoplasia. It grows rapidly and metastasizes to the lung, liver, and, less frequently, to the brain. One rare case of metastatic cerebral choriocarcinoma with initial presentation of intracerebral hemorrhage is reported. Our patient had metastasis to brain and lung with no evidence of genital disease. She has received systemic as well as intra-thecal chemotherapy, her β-HCG levels have come down, and she is on follow-up.