Authors : Divya , Sarita Singh, Achla Batra, Rupali Dewan
DOI : 10.18231/j.ijogr.2019.055
Volume : 6
Issue : 2
Year : 2019
Page No : 237-238
Introduction: Choriocarcinoma ovary is a rare neoplasm. It is gestational or nongestational. Very few cases of NGCO have been reported.
Case Report: We describe a case of a multiparous 31 year old woman who came to gynae receiving room with acute pain abdomen in shock. On examination abdominal distension with ascitis was present. On pervaginal examination uterus was bulky, os was closed and tenderness in right fornice was present. Her UPT was positive and blood was aspirated in culdocentesis. Emergency laprotomy was done with a provisional diagnosis of ectopic pregnancy, followed by right sided salpingoophrectomy with left sided tubal ligation. A right ovarian mass around 6X7 cm was found ruptured and was bleeding profusely. There was 2 liters of haemoperitoneum. Patient was transfused 2 units of PCV and 4 units of FFP. Postoperative period was uneventful. Her βhcg levels were 42,416, 48 hours postsurgery. Histopathological and immunohistochemical report were suggestive of nongestational Choriocarcinoma ovary showing sheets of cytotrophoblastic and syncytiotrophoblastic cells and extensive areas of haemorrhage and necrosis. Patient was started on BEP chemotherapy. Computed tomographic scan revealed no brain or lung metastases. Though she took 3 cycles and went LAMA.She was followed up on phone and was reportedly alive and healthy.
Keywords: Choriocarcinoma, Non gestational, Ovarian cancer.