Annals of medicine and surgery (2012) · 2022
Ovarian ectopic pregnancy misdiagnosed as gestational choriocarcinoma: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Kazemi Seyyedeh Neda, Raoufi Masoomeh, Moghaddam Noushin Afshar, Tabatabaeefar Morteza, Ganjooei Tahereh Ashraf
Аннотация
INTRODUCTION: and importance: Choriocarcinoma is a highly malignant epithelial tumor with often distant metastasis. The clinical presentation of choriocarcinoma depends upon extend of disease and location of metastasis.
CASE PRESENTATION: A 35-year-old multiparous woman was presented with severe pelvic pain, fatigue and cough. She was diagnosed with positive pregnancy due to elevated B-hCG and hyperechoic mass in right adnexa.
CLINICAL DISCUSSION: Exploration surgery showed a larger mass on the right ovary. She was diagnosed with choriocarcinoma however CT scan showed metastasis of lungs, brain and pelvis. She underwent multiple session of chemotherapy, nonetheless, after 8 months, she passed away.
CONCLUSION: Timely diagnosis and prompt treatment of choriocarcinoma is necessary to prevent mortality and bad prognosis. It should be differentially diagnosed with all the types of pregnancies.
CASE PRESENTATION: A 35-year-old multiparous woman was presented with severe pelvic pain, fatigue and cough. She was diagnosed with positive pregnancy due to elevated B-hCG and hyperechoic mass in right adnexa.
CLINICAL DISCUSSION: Exploration surgery showed a larger mass on the right ovary. She was diagnosed with choriocarcinoma however CT scan showed metastasis of lungs, brain and pelvis. She underwent multiple session of chemotherapy, nonetheless, after 8 months, she passed away.
CONCLUSION: Timely diagnosis and prompt treatment of choriocarcinoma is necessary to prevent mortality and bad prognosis. It should be differentially diagnosed with all the types of pregnancies.