A case of primary tubal gestational choriocarcinoma

Butler, Robert, Chadha, Yogesh, Davies, Janene and Singh, Mahendra (2010) A case of primary tubal gestational choriocarcinoma. Australian and New Zealand Journal of Obstetrics and Gynaecology, 50 2: 200-201. doi:10.1111/j.1479-828X.2009.01124.x

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Author Butler, Robert
Chadha, Yogesh
Davies, Janene
Singh, Mahendra
Title A case of primary tubal gestational choriocarcinoma
Journal name Australian and New Zealand Journal of Obstetrics and Gynaecology   Check publisher's open access policy
ISSN 0004-8666
Publication date 2010-04-01
Sub-type Article (original research)
DOI 10.1111/j.1479-828X.2009.01124.x
Volume 50
Issue 2
Start page 200
End page 201
Total pages 2
Editor David Ellwood
Place of publication Melbourne, VIC, Australia
Publisher Blackwell
Language eng
Formatted abstract
A 24-year-old gravida 1 para 0 woman presented to our Emergency Department in December 2006 with mild vaginal bleeding and lower abdominal pain following six weeks amenorrhoea and positive urine pregnancy test. Her past medical history and systemic examination were unremarkable. Vaginal examination revealed minimal blood and mild left adnexal tenderness. Her haemoglobin was 13.6 g/dL, blood group ORhD+ve, serum ßHCG titre 15 000 IU/L and liver function tests normal. A trans-vaginal ultrasound scan showed an empty uterus, 6.5 cm simple right ovarian cyst, normal left ovary, a 2.6 cm left adnexal mass and little pelvic free fluid. A provisional diagnosis of left ectopic pregnancy was made. Laparoscopy revealed a 3×2 cm intact left mid-tubal mass, a 6-cm simple right ovarian cyst and 150 mL blood in the pelvis which was otherwise normal. A left salpingectomy and right ovarian cystotomy were performed. Her recovery was uncomplicated.

This case emphasises the importance of securing an accurate diagnosis and follow-up of all patients with, what may initially appear to be, a routine tubal pregnancy. Doing so would safeguard against missing this extremely rare, highly aggressive, but readily curable malignancy.
© 2010 The Authors
Journal compilation © 2010 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
Keyword Chemotherapy
Fallopian tube
Trophoblastic disease
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published under "Case Reports".

Document type: Journal Article
Sub-type: Article (original research)
Collections: Mater Research Institute-UQ (MRI-UQ)
Official 2011 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 02 May 2010, 10:08:55 EST