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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Main Authors: Lawrence Hsu Lin (Author), Koji Fushida (Author), Eliane Azeka Hase (Author), Regina Schultz (Author), Laysa Manatta Tenorio (Author), Fabricia Andrea Rosa Madia (Author), Evelin Aline Zanardo (Author), Leslie Domenici Kulikowski (Author), Rossana Pulcineli Vieira Francisco (Author)
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Published: Hindawi Limited, 2018-01-01T00:00:00Z.
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100 1 0 |a Lawrence Hsu Lin  |e author 
700 1 0 |a Koji Fushida  |e author 
700 1 0 |a Eliane Azeka Hase  |e author 
700 1 0 |a Regina Schultz  |e author 
700 1 0 |a Laysa Manatta Tenorio  |e author 
700 1 0 |a Fabricia Andrea Rosa Madia  |e author 
700 1 0 |a Evelin Aline Zanardo  |e author 
700 1 0 |a Leslie Domenici Kulikowski  |e author 
700 1 0 |a Rossana Pulcineli Vieira Francisco  |e author 
245 0 0 |a Gestational Tubal Choriocarcinoma Presenting as a Pregnancy of Unknown Location following Ovarian Induction 
260 |b Hindawi Limited,   |c 2018-01-01T00:00:00Z. 
500 |a 2090-6684 
500 |a 2090-6692 
500 |a 10.1155/2018/4705192 
520 |a 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. 
546 |a EN 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Case Reports in Obstetrics and Gynecology, Vol 2018 (2018) 
787 0 |n http://dx.doi.org/10.1155/2018/4705192 
787 0 |n https://doaj.org/toc/2090-6684 
787 0 |n https://doaj.org/toc/2090-6692 
856 4 1 |u https://doaj.org/article/72f7bde4962e4dad8fb79f1cdea0a3c6  |z Connect to this object online.