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Ovarian ectopic pregnancy misdiagnosed as gestational choriocarcinoma: A case report.

ABSTRACT:

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.

SUBMITTER: Kazemi SN

PROVIDER: S-EPMC8767310 | biostudies-literature |

REPOSITORIES: biostudies-literature

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