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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
CHORIOCARCINOMA – A RARE TUMOR IN A 15 YEAR FEMALE
Author
Deval Patel1*, Himali Patel2, Parth Patel3
Email
drdevalppatel@gmail.com
keyword
Choriocarcinoma, Ovarian tumor, Nongestational, 15-year-old female
Abstract
Choriocarcinoma of the ovary is a rare, highly malignant ovarian tumor which is characterized pathologically by the presence of trophoblastic malignant cells, and biochemically by the production of the pregnancy hormone human chorionic gonadotrophin (hCG) in the absence of an ongoing pregnancy. This disease is classified two types in origin, gestational choriocarcinoma and nongestational germ cell tumor. Here, we present a case of ovarianchoriocarcinoma in an unmarried15-year-old female who presented with complaints of lower abdominal pain, a tender lump below umbilicus and 2months amenorrhea. Her urine pregnancy test was positive with beta HCG >400IU/ml, Ca125-170U/ml, AFP-1.02(normal) and S.LDH-627U/L. CT Abdomen was suggestive of vascular malignant tumor, possibility of ovarian malignant teratoma. Her on OT table Frozen section report was: Malignant Germ Cell Tumor-most probably-Choriocarcinoma which was followed by Exploratory Laprotomy with total hysterectomy with bilateral salpingo-ophorectomy and partial omentectomy. Finally diagnosis of Choriocarcinoma of right ovary with metastasis to lateral and posterior walls of uterus, cervix and left ovary was given with TNM-T2aNXMx-Stage IIA, FIGO-Stage IIA.
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