Unusual Presentation of Choriocarcinoma Six Months after Term Delivery: A Case Report

Prerna Dhabarde, Archana Joshi, Sadhana Mahore

Abstract: Choriocarcinoma coexisting with or after an otherwise normal pregnancy is extremely rare. Choriocarcinoma invades and metastasise early and is often widespread at the time of diagnosis. A 25 year old female complaining of bleeding p/v since 1 month with spontaneous expulsion of a mass per vaginum, after post partal amenorrhoea of 5 months. A history of contact was present. In this case, the diagnosis was established by histopathological examination of expelled tissue mass. Adequate tissue samples are necessary for histopathological diagnosis and early diagnosis of gestational choriocarcinoma can be done by routine histopathological examination of the placenta after birth.

Keywords: GTD gestational trophoblastic disease, -hCG -human chorionic gonadotropin, GCO gestational choriocarcinoma, NGCO non gestational choriocarcinoma