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KMID : 0358420140570040330
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Korean Journal of Obstetrics and Gynecology
2014 Volume.57 No. 4 p.330 ~ p.333
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Primary ovarian choriocarcinoma mimicking ectopic pregnancy
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Heo Eun-Jin
Choi Chel-Hun
Park Jung-Min
Lee Jeong-Won
Bae Duk-Soo
Kim Byoung-Gie
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Abstract
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Nongestational ovarian choriocarcinoma is an exceedingly rare and highly aggressive tumor. Although early diagnosis and timely initiation of therapy is important, it is difficult in reproductive aged patients because of the frequent elevation of human chorionic gonadotropin. We report a primarily nongestational ovarian choriocarcinoma in a 12-year-old virgin female. Initial diagnosis based on abdominopelvic computed tomography and pelvis magnetic resonance imaging was ectopic pregnancy with hemoperitoneum. A diagnostic laparoscopy of the ovarian tumor revealed choriocarcinoma. Unilateral salpingo-oophorectomy and omental sampling revealed surgical stage of IA. Six courses of adjuvant combination chemotherapy (bleomycin, etoposide, and cisplatin) followed surgery.
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KEYWORD
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Choriocarcinoma, Laparoscopy, Nongestational, Ovary
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