Primary Tubal Choriocarcinoma Presented as Ruptured Ectopic Pregnancy


Karaman E., Cetin O., Kolusarı A., Bayram İ.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, vol.9, no.9, 2015 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 9 Issue: 9
  • Publication Date: 2015
  • Doi Number: 10.7860/jcdr/2015/15828.6534
  • Journal Name: JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, EMBASE, Directory of Open Access Journals
  • Keywords: Human chorionic gonadotropin, Tubal rupture, Tubal pregnancy
  • Van Yüzüncü Yıl University Affiliated: Yes

Abstract

The primary tubal choriocarcinoma associated with ectopic pregnancy is very rare. A 31-year-old woman was admitted to the emergency room due to amenorrhea, left lower abdominal pain and fatigue. Her beta-Hcg level was 29251.4 mIU/ml and transvaginal ultrasund revealed a 24x21 mm of left tubal ectopic pregancy mass with large amount of free fluid in pelvic cavity. The patient was diagnosed with ruptured tubal ectopic pregnancy and thus, she underwent laparotomy with left total salpingectomy. The pathological assessment was reported as primary tubal choriocarcinoma with the involvement of whole tubal layer. The patient was defined to have stage I choriocarcinoma with good prognostic factors and methotrexate monotherapy was administered. Serum beta-Hcg levels of the patient gradually declined and eventually became negative at the first month of the treatment. With this case report we aimed to implicate that when diagnosing the ectopic pregnancy, even very rare, the tubal choriocarcinoma should be kept in mind.