Metastatic gestational choriocarcinoma: a masquerader in obstetrics.

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Metastatic gestational choriocarcinoma: a masquerader in obstetrics.

Ir J Med Sci. 2018 Feb;187(1):127-129

Authors: McCarthy CM, Unterscheider J, Burke C, Coulter J

Abstract
We describe a case of a 36-year-old woman presenting with vaginal bleeding and suboptimally rising serum human chorionic gonadotropin levels, who was investigated for a pregnancy of unknown location. Ultrasonography, laparoscopy and dilatation and curettage failed to reveal signs of an intra-uterine or intra-abdominal pregnancy. Following computed tomography imaging, a mediastinal mass was histologically determined to be a gestational choriocarcinoma. Following surgical resection and chemotherapy, the patient recovered and proceeded to have a successful intra-uterine pregnancy. We describe this exceptionally rare case and emphasise the importance of follow-up of hCG levels in pregnancy of unknown location.

PMID: 28550508 [PubMed - indexed for MEDLINE]

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