The cervix may be involved by direct extension of corporal choriocarcinoma or be the site of a secondary nodule. Such nodules are small, usually embedded in the substance of the cervix or if "large replace it by `growth. Occasionally choriocarcinoma is found in the cervix in the absence of corporal choriocarcinoma.
The patient was a 36-year-old Korean female, para 2, gravida 4. The last pregnancy of two months was interrupted artificially in January, 1969. Since this abortion, the on-and-off genital bleeding had been- noted- up to the ´hospital admission. ´The patient. was _admitted, and.. examined on December 22, 1969. Massive hemorrhage from a small artery at the anterior cervix was noted.
On palpation the cervix was ulcerated and more enlarged than the body of the uterus.Both.-ovaries were cystic enlarged and the size ofadult fist size. The bleeding vessels were ligated by surgical guts and bleeding stopped. The cervical biopsy showed choriocarcinoma. On the following
day abdominal total hysterectomy and´ bilateral salpingooophorectomy were performed.. The pat-,l hological examination showed: choriocarcinoma of the cervix, bilateral thecalutein cysts of the ovary and fi bro=myoma of the left ovary (Fig. 1, 2,3)
In the period of 10 years from ´1959,´ to 1999, 88 cases of choriocarcinoma-of the uterus were submitted for pathological examinations from the educational hospitals in Pusan area. The, typical primary choriocarcinoma of the cervix was only one case, -0.88% in; this series.
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