Tubal primary metastatic choriocarcinoma coexistent with a viable early pregnancy: a case report.
BACKGROUND
fallopian tube choriocarcinoma coexistent with viable intrauterine pregnancy is an extremely rare condition.


METHODS
we present the first case reported in literature of tubal choriocarcinoma coexistent with viable intrauterine pregnancy detected at early gestational age (20 weeks) and successfully managed by seriate monitoring of maternal and fetal health status until 31 weeks, then treated by cesarean section followed by etoposide, methotrexate, actinomycin D, cyclophosphamide, and vincristine (EMA-CO) chemotherapy protocol.


CONCLUSIONS
the outcome was favorable for both the mother and her fetus.
Department of Medical Surgical Specialties, University of Catania, Catania, Italy.
Stefano
S
Cianci
Department of Medical Surgical Specialties, University of Catania, Catania, Italy.
Salvatore Giovanni
SG
Vitale
Department of Gynecologic Oncology, Oxford Cancer Centre, Oxford University Hospital.
Roberto
R
Tozzi
Department of Gynecologic Ultrasound Imaging, Altamedica Fetal Maternal Medical Centre, Rome, Italy.
Pietro
P
Cignini
Department of Gynecologic Ultrasound Imaging, Altamedica Fetal Maternal Medical Centre, Rome, Italy.
Francesco
F
Padula
Department of Gynecologic Ultrasound Imaging, Altamedica Fetal Maternal Medical Centre, Rome, Italy.
Laura
L
D'Emidio
Department of Gynecologic Ultrasound Imaging, Altamedica Fetal Maternal Medical Centre, Rome, Italy.
Lucia
L
Mangiafico
Department of Gynecologic Ultrasound Imaging, Altamedica Fetal Maternal Medical Centre, Rome, Italy.
Claudio
C
Giorlandino
Division of Gynecology and Obstetrics, Ospedale Papa Giovanni XXIII, Milano Bicocca University, Bergamo, Italy.
Luigi
L
Frigerio
Division of Gynecology and Obstetrics, Ospedale Papa Giovanni XXIII, Milano Bicocca University, Bergamo, Italy.
Diego
D
Rossetti
Department of Medical Surgical Specialties, University of Catania, Catania, Italy.
Salvatore
S
Caruso
chemotherapy; intrauterine pregnancy; lung metastasis; tubal choriocarcinoma