title: Gestational choriocarcinoma in a tubal ectopic pregnancy.
abstract: A case is reported of a gestational choriocarcinoma arising in a tubal ectopic pregnancy of 7 weeks' gestation. Unilateral salpingectomy and single-agent actinomycin-D chemotherapy achieved a cure. A follow-up 4 years later revealed no evidence of recurrence, with two normal births within that period. The current trend to treat ectopic pregnancy by conservative surgery necessitates monitoring of beta-HCG titres in order to avoid missing a choriocarcinoma developing in an ectopic gestation, even though this is a very rare condition.
authors.affiliation: Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
authors.forename: Y N
authors.initials: YN
authors.lastname: Bakri
authors.forename: A
authors.initials: A
authors.lastname: Amri
authors.forename: J
authors.initials: J
authors.lastname: Mulla
mesh_terms: D000328:Adult; D002822:Choriocarcinoma / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D005185:Fallopian Tube Neoplasms / Q000150:complications* / Q000628:therapy; D005260:Female; D006801:Humans; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D011274:Pregnancy, Tubal