Document Detail

Primary abdominal gestational choriocarcinoma.
MedLine Citation:
PMID:  14672474     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Gestational choriocarcinoma associated with ectopic pregnancy is an extremely infrequent event. Primary abdominal gestational choriocarcinoma has not been previously described. CASE: A pregnant woman presented to the emergency room with 6 days of vaginal spotting. Her last menstrual period suggested a gestation at 6 4/7 weeks. Transvaginal sonogram showed a hemoperitoneum with no intrauterine pregnancy. The serum human chorionic gonadotropin level was noted to be 317,735 mIU/mL. A 20 x 20-mm friable, bleeding mass on the left anterior abdominal wall was laparoscopically resected. Gestational choriocarcinoma was identified on histopathologic review. International Federation of Gynecology and Obstetrics stage IV:4 was assigned, and the patient achieved clinical remission with combination chemotherapy. CONCLUSION: Primary abdominal gestational choriocarcinoma can present with findings similar to a ruptured ectopic pregnancy; it should be treated by surgical excision and chemotherapy.
Jennifer L Bailey; Emily A Hinton; Raheela Ashfaq; John O Schorge
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  102     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-12-15     Completed Date:  2004-01-09     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  988-90     Citation Subset:  AIM; IM    
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Southwestern Trophoblastic Disease Center, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9032, USA.
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MeSH Terms
Antineoplastic Combined Chemotherapy Protocols / therapeutic use
Choriocarcinoma / complications,  diagnosis*,  drug therapy,  pathology,  ultrasonography
Diagnosis, Differential
Neoplasm Staging
Uterine Hemorrhage / etiology
Uterine Neoplasms / complications,  diagnosis*,  drug therapy,  pathology,  ultrasonography

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