Pure ovarian choriocarinoma mimicking ectopic pregnancy in true hermaphroditism.
Ovarian choriocarinoma is a rare tumor and has not been described before in a true hermaphrodite condition. A 23-year-old karyotype 46XX parous female was admitted to hospital because of amenorrhea, irregular vaginal bleeding, an adnexal mass, and an increased beta-hCG serum level. Ectopic pregnancy was suspected three times and exploratory laparoscopy done each time removing the right ovarian mass and local pelvic and omental spread. Final pathology revealed a true hermaphrodite state with testicular tissue with distinct tubules, ovarian tissue with follicles, and ovarian choriocarinoma with necrosis and hemorrhage. She received chemotherapy followed by radical pelvic surgery.
Wang
Danqing
D
Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Hu
Yayi
Y
He
Ying
Y
Xie
Cong
C
Yin
Rutie
R
D000328:Adult; D002822:Choriocarcinoma / Q000175:diagnosis* / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000532:radiotherapy / Q000601:surgery; D050090:Ovotesticular Disorders of Sex Development / Q000150:complications*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis