Primary ovarian choriocarcinoma mimicking ectopic pregnancy
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ÇãÀºÁø(Heo Eun-Jin) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Obstetrics and Gynecology
ÃÖöÈÆ(Choi Chel-Hun) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Obstetrics and Gynecology
¹ÚÁ¤¹Î(Park Jung-Min) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Obstetrics and Gynecology
ÀÌÁ¤¿ø(Lee Jeong-Won) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Obstetrics and Gynecology
¹è´ö¼ö(Bae Duk-Soo) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Obstetrics and Gynecology
±èº´±â(Kim Byoung-Gie) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Obstetrics and Gynecology
Abstract
Nongestational ovarian choriocarcinoma is an exceedingly rare and highly aggressive tumor. Although early diagnosis and timely initiation of therapy is important, it is difficult in reproductive aged patients because of the frequent elevation of human chorionic gonadotropin. We report a primarily nongestational ovarian choriocarcinoma in a 12-year-old virgin female. Initial diagnosis based on abdominopelvic computed tomography and pelvis magnetic resonance imaging was ectopic pregnancy with hemoperitoneum. A diagnostic laparoscopy of the ovarian tumor revealed choriocarcinoma. Unilateral salpingo-oophorectomy and omental sampling revealed surgical stage of IA. Six courses of adjuvant combination chemotherapy (bleomycin, etoposide, and cisplatin) followed surgery.
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Choriocarcinoma, Laparoscopy, Nongestational, Ovary
KMID :
0358420140570040330
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