Tubal primary metastatic choriocarcinoma coexistent with a viable early pregnancy: a case report

Stefano Cianci; Salvatore Giovanni Vitale; Roberto Tozzi; Pietro Cignini; Francesco Padula; Laura D'Emidio; Lucia Mangiafico; Claudio Giorlandino; Luigi Frigerio; Diego Rossetti; Salvatore Caruso

Tubal primary metastatic choriocarcinoma coexistent with a viable early pregnancy: a case report

J Prenat Med. 2014 Apr-Jun;8(3-4):47-9.

Affiliations

¹ Department of Medical Surgical Specialties, University of Catania, Catania, Italy.
² Department of Gynecologic Oncology, Oxford Cancer Centre, Oxford University Hospital.
³ Department of Gynecologic Ultrasound Imaging, Altamedica Fetal Maternal Medical Centre, Rome, Italy.
⁴ Division of Gynecology and Obstetrics, Ospedale Papa Giovanni XXIII, Milano Bicocca University, Bergamo, Italy.

PMID: 26266001
PMCID: PMC4510563

Abstract

Introduction: fallopian tube choriocarcinoma coexistent with viable intrauterine pregnancy is an extremely rare condition.

Case report: we present the first case reported in literature of tubal choriocarcinoma coexistent with viable intrauterine pregnancy detected at early gestational age (20 weeks) and successfully managed by seriate monitoring of maternal and fetal health status until 31 weeks, then treated by cesarean section followed by etoposide, methotrexate, actinomycin D, cyclophosphamide, and vincristine (EMA-CO) chemotherapy protocol.

Conclusions: the outcome was favorable for both the mother and her fetus.

Keywords: chemotherapy; intrauterine pregnancy; lung metastasis; tubal choriocarcinoma.

Publication types

Case Reports