Primary uterine choriocarcinoma presented as suspected ectopic pregnancy: A case report

Abstract

Choriocarcinoma is a trophoblastic tumor belonging to the malignant end of the spectrum in gestational trophoblastic disease. It usually occurs after a molar pregnancy, but may develop after a normal pregnancy. We report a case of 28-year-old female who presented with two-month amenorrhea and bleeding per vagina for 2-3 days. Patient was conscious, cooperative. General examination revealed severe pallor with Hb-3 gm/dl. PV findings uterus 6 weeks size, anteverted and anteflexed, on right fornix mass felt and slight bleeding present. Abdominal sonography shows right tubo-ovarian mass 10x8 cm size and free fluid seen in pouch of Douglas suspecting ectopic pregnancy. Histology findings show choriocarcinoma.