title: Ectopic tubal choriocarcinoma: a rarity.
abstract: Herein, we present a case of tubal choriocarcinoma which was diagnosed initially as chronic ectopic pregnancy. During laparotomy we noticed a haemorrhagic friable mass in the left flank, adherent to the bowel. Left-sided salpingoopherectomy was performed. Serum β HCG (human chorionic gonadotropin) levels performed in the postoperative period were elevated. Histopathology demonstrated choriocarcinoma. She was given six cycles of chemotherapy (etoposide, methotrexate, actinomycin D-cyclophosphamide, vincristine/oncovine (EMA-CO) regime) and monitored by serial β HCG estimation. This case highlights the importance of undertaking histopathological examination of the tubal tissue in every patient who presents with ectopic pregnancy. This important diagnostic test prevents the potential of missing this rare and highly malignant disease which is otherwise curable in most instances.
authors.affiliation: Department of OB & GYN, CSMMULucknow, Uttar Pradesh, India. mehrotra.seema@gmail.com
authors.forename: Seema
authors.initials: S
authors.lastname: Mehrotra
authors.forename: Urmila
authors.initials: U
authors.lastname: Singh
authors.forename: Madhumati
authors.initials: M
authors.lastname: Goel
authors.forename: Shilpi
authors.initials: S
authors.lastname: Chauhan
mesh_terms: D000028:Abortion, Induced; D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D002822:Choriocarcinoma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D005185:Fallopian Tube Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D005187:Fallopian Tubes / Q000473:pathology; D005260:Female; D006801:Humans; D010052:Ovariectomy; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D058994:Salpingectomy