title: Postmenopausal choriocarcinoma: A rare case report.
abstract: Choriocarcinoma is a highly malignant epithelial tumor originating from trophoblast. It primarily occurs during the fertile period. Postmenopausal uterine choriocarcinoma is very rare. We present a case of choriocarcinoma in a postmenopausal lady developing 5 years after menopause. She presented with heavy postmenopausal bleeding along with passage of vesicles per vaginum. Serum beta-hCG was 96,484 mIU/ml. Emergency abdominal hysterectomy with bilateral salpingo-ooperectomy was done due to intractable bleeding following suction and evacuation. Histopathology revealed uterine choriocarcinoma. She was treated with EMACO regimen following which her beta-hCG returned to normal in five cycles. The patient is under regular follow-up and is doing well.
authors.affiliation: Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.
authors.forename: Sunil K
authors.initials: SK
authors.lastname: Samal
authors.affiliation: Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.
authors.forename: Setu
authors.initials: S
authors.lastname: Rathod
authors.affiliation: Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.
authors.forename: Seetesh
authors.initials: S
authors.lastname: Ghose
keywords: Uterine choricarcinoma; beta-hCG; postmenopausal bleeding