Primary ovarian choriocarcinoma mimicking ectopic pregnancy.
10.5468/ogs.2014.57.4.330
- Author:
Eun Jin HEO
1
;
Chel Hun CHOI
;
Jung Min PARK
;
Jeong Won LEE
;
Duk Soo BAE
;
Byoung Gie KIM
Author Information
1. Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. bksong.kim@samsung.com
- Publication Type:Case Report
- Keywords:
Choriocarcinoma;
Laparoscopy;
Nongestational;
Ovary
- MeSH:
Child;
Choriocarcinoma*;
Chorionic Gonadotropin;
Diagnosis;
Drug Therapy, Combination;
Early Diagnosis;
Etoposide;
Female;
Hemoperitoneum;
Humans;
Laparoscopy;
Magnetic Resonance Imaging;
Ovary;
Pelvis;
Pregnancy;
Pregnancy, Ectopic*
- From:Obstetrics & Gynecology Science
2014;57(4):330-333
- CountryRepublic of Korea
- Language:English
-
Abstract:
Nongestational ovarian choriocarcinoma is an exceedingly rare and highly aggressive tumor. Although early diagnosis and timely initiation of therapy is important, it is difficult in reproductive aged patients because of the frequent elevation of human chorionic gonadotropin. We report a primarily nongestational ovarian choriocarcinoma in a 12-year-old virgin female. Initial diagnosis based on abdominopelvic computed tomography and pelvis magnetic resonance imaging was ectopic pregnancy with hemoperitoneum. A diagnostic laparoscopy of the ovarian tumor revealed choriocarcinoma. Unilateral salpingo-oophorectomy and omental sampling revealed surgical stage of IA. Six courses of adjuvant combination chemotherapy (bleomycin, etoposide, and cisplatin) followed surgery.