Shahgufta Shaheen, Shahnaz Akhtar.
Successful pregnancy outcome following chemotherepy for Choriocarcinoma.
J Postgrad Med Inst Jan ;21(2):154-5.

A twenty-two years old woman, came with complaintof pain in abdomen and irregular bleeding per vaginum for the last six months following 3 months of abortion. Pelvic examination suggested bulky uterus and cystic mass of about 6 x 5cm size adherent to the right side of the body of uterus. This raised suspicion of ectopic pregnancy. Her -hCG level was 116500 m.i.u/ ml. and ultrasound showed normal empty collapsed cavity but there was complex mass of about 6 x 5cm in right corneal region of the uterus. Since she had severe pain in abdomen, emergency laparotomy was done. On laparotomy, uterus was of normal size but there was mass of about 6 x 6cm in the right corneal region of the uterus. Right salpingectomy was done with removal of necrotic material from right corneal region of the uterus. Histopathology report showed trophoblastic tissue (choriocarcinoma). This patient made satisfactory postoperative recovery and was discharged home after a couple of days. She had 5 courses of MAC regimen. During follow up she conceived after 1 year and she had regular antenatal check ups.

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