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.
Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Danqing
D
Wang
Yayi
Y
Hu
Ying
Y
He
Cong
C
Xie
Rutie
R
Yin
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