Gestational Tubal Choriocarcinoma Presenting as a Pregnancy of Unknown Location following Ovarian Induction
The management of pregnancy of unknown location (PUL) can be a challenging situation, since it can present as several different conditions. Here we describe a rare case of gestational choriocarcinoma arising in the fallopian tube after ovarian induction in an infertile patient. The patient received...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/4705192 |
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| _version_ | 1849414529630339072 |
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| author | Lawrence Hsu Lin Koji Fushida Eliane Azeka Hase Regina Schultz Laysa Manatta Tenorio Fabricia Andrea Rosa Madia Evelin Aline Zanardo Leslie Domenici Kulikowski Rossana Pulcineli Vieira Francisco |
| author_facet | Lawrence Hsu Lin Koji Fushida Eliane Azeka Hase Regina Schultz Laysa Manatta Tenorio Fabricia Andrea Rosa Madia Evelin Aline Zanardo Leslie Domenici Kulikowski Rossana Pulcineli Vieira Francisco |
| author_sort | Lawrence Hsu Lin |
| collection | DOAJ |
| description | The management of pregnancy of unknown location (PUL) can be a challenging situation, since it can present as several different conditions. Here we describe a rare case of gestational choriocarcinoma arising in the fallopian tube after ovarian induction in an infertile patient. The patient received clomiphene for ovarian induction and had rising levels of human chorionic gonadotropin (hCG) over nine months without sign of pregnancy. After referral to our center, the patient was diagnosed with a paraovarian tumor, which revealed a gestational choriocarcinoma arising in the fallopian tube; the final diagnosis was supported by pathological and cytogenomic analysis. Malignancies, such as gestational trophoblastic disease, should be in the differential diagnosis of PUL; the early recognition of these conditions is key for the proper treatment and favorable outcome. |
| format | Article |
| id | doaj-art-72f7bde4962e4dad8fb79f1cdea0a3c6 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-72f7bde4962e4dad8fb79f1cdea0a3c62025-08-20T03:33:49ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/47051924705192Gestational Tubal Choriocarcinoma Presenting as a Pregnancy of Unknown Location following Ovarian InductionLawrence Hsu Lin0Koji Fushida1Eliane Azeka Hase2Regina Schultz3Laysa Manatta Tenorio4Fabricia Andrea Rosa Madia5Evelin Aline Zanardo6Leslie Domenici Kulikowski7Rossana Pulcineli Vieira Francisco8University of Sao Paulo Trophoblastic Disease Center, University of Sao Paulo Medical School, Sao Paulo, SP, BrazilUniversity of Sao Paulo Trophoblastic Disease Center, University of Sao Paulo Medical School, Sao Paulo, SP, BrazilUniversity of Sao Paulo Trophoblastic Disease Center, University of Sao Paulo Medical School, Sao Paulo, SP, BrazilDepartment of Pathology, University of Sao Paulo Medical School, Sao Paulo, SP, BrazilUniversity of Sao Paulo Trophoblastic Disease Center, University of Sao Paulo Medical School, Sao Paulo, SP, BrazilCytogenomic Laboratory, Department of Pathology, University of Sao Paulo Medical School, Sao Paulo, SP, BrazilCytogenomic Laboratory, Department of Pathology, University of Sao Paulo Medical School, Sao Paulo, SP, BrazilCytogenomic Laboratory, Department of Pathology, University of Sao Paulo Medical School, Sao Paulo, SP, BrazilUniversity of Sao Paulo Trophoblastic Disease Center, University of Sao Paulo Medical School, Sao Paulo, SP, BrazilThe management of pregnancy of unknown location (PUL) can be a challenging situation, since it can present as several different conditions. Here we describe a rare case of gestational choriocarcinoma arising in the fallopian tube after ovarian induction in an infertile patient. The patient received clomiphene for ovarian induction and had rising levels of human chorionic gonadotropin (hCG) over nine months without sign of pregnancy. After referral to our center, the patient was diagnosed with a paraovarian tumor, which revealed a gestational choriocarcinoma arising in the fallopian tube; the final diagnosis was supported by pathological and cytogenomic analysis. Malignancies, such as gestational trophoblastic disease, should be in the differential diagnosis of PUL; the early recognition of these conditions is key for the proper treatment and favorable outcome.http://dx.doi.org/10.1155/2018/4705192 |
| spellingShingle | Lawrence Hsu Lin Koji Fushida Eliane Azeka Hase Regina Schultz Laysa Manatta Tenorio Fabricia Andrea Rosa Madia Evelin Aline Zanardo Leslie Domenici Kulikowski Rossana Pulcineli Vieira Francisco Gestational Tubal Choriocarcinoma Presenting as a Pregnancy of Unknown Location following Ovarian Induction Case Reports in Obstetrics and Gynecology |
| title | Gestational Tubal Choriocarcinoma Presenting as a Pregnancy of Unknown Location following Ovarian Induction |
| title_full | Gestational Tubal Choriocarcinoma Presenting as a Pregnancy of Unknown Location following Ovarian Induction |
| title_fullStr | Gestational Tubal Choriocarcinoma Presenting as a Pregnancy of Unknown Location following Ovarian Induction |
| title_full_unstemmed | Gestational Tubal Choriocarcinoma Presenting as a Pregnancy of Unknown Location following Ovarian Induction |
| title_short | Gestational Tubal Choriocarcinoma Presenting as a Pregnancy of Unknown Location following Ovarian Induction |
| title_sort | gestational tubal choriocarcinoma presenting as a pregnancy of unknown location following ovarian induction |
| url | http://dx.doi.org/10.1155/2018/4705192 |
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