Successfully conservative treatment of large cervical choriocarcinoma with profuse vaginal bleeding.
Primary choriocarcinoma of the uterine cervix is a rare disease. The accurate diagnosis of such a disease is difficult to achieve because of its rarity. Furthermore, the majority of cases presented with abnormal vaginal bleeding that could be caused by other more common conditions including, threatened abortion, cervical polyp, cervical pregnancy, or cervical cancer. In the present report, the authors present a case of large cervical choriocarcinoma with life-threatening vaginal bleeding, which was initially misdiagnosed as a cervical cancer The active cervical bleeding was successfully controlled with selective uterine arterial embolization. Remission of cervical choriocarcinoma was accomplished with combination chemotherapy without the need of hysterectomy.
Chandacham
Anchalee
A
Department of Obstetrics and Gynecology, Nakornping Hospital, Chiang Mai 50180, Thailand. achainual@yahoo.com
Kietpeerakool
Chumnan
C
Khunamornpong
Surapan
S
Suprasert
Prapaporn
P
Srisomboon
Jatupol
J
Charoenkwan
Kittipat
K
Phongnarisorn
Chailert
C
Cheewakraingkrai
Chalong
C
Siriaree
Sitthicha
S
Tantipalakorn
Charuwan
C
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D002822:Choriocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D003561:Cytarabine / Q000008:administration & dosage; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D005047:Etoposide / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008942:Mitoxantrone / Q000008:administration & dosage; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D018615:Ultrasonography, Doppler, Color; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*
D003561:Cytarabine; D005047:Etoposide; D008942:Mitoxantrone