Objective: To evaluate the rare entity of partial mole or choriocarcinoma with co-existing fetus.
Methods: A total of 7 cases of partial mole or choriocarcinoma with co-existing fetus were selected to collect clinical profiles and perform auxiliary examinations such as serum β-hCG and sonography. The data were analyzed retrospectively and all cases confirmed by surgery and histopathological diagnosis.
Results: There were 5 cases of partial moles with co-existing fetus. All patients stayed alive at follow-up. However, only 1 fetus delivered at 32-week gestation survived. All patients of choriocarcinoma with co-existing fetus died. Among them, 1 newborn died and another one lost follow-up after 2 years.
Conclusion: Recently the rate of gestational trophoblastic disease with co-existing fetus is rising. It is quite important that the professionals of genetics, reproductive medicine, gynecological oncology, perinatal medicine and pathology should pay more attention to this emerging disease.
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J Turk Ger Gynecol Assoc
September 2023
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, India.
Gestational trophoblastic neoplasia (GTN) arising in the placenta and presenting as a metastatic disease concurrently in the mother and the baby is extremely rare. GTN poses a diagnostic dilemma to the treating clinicians. In the current review, an electronic search of Scopus, PubMed, Embase and other databases was conducted for case reports and case series of GTN co-existing or metastatic to both the mother and the baby, published to date.
View Article and Find Full Text PDFCase Rep Womens Health
July 2021
Westmead Hospital, Western Sydney Local Health District, Sydney, Australia.
Intraplacental choriocarcinoma (IC) is a rare disease, occurring in approximately 1 in 50,000 pregnancies. A 33-year-old woman, gravida 2 para 0, sustained an intrauterine fetal death due to fetomaternal haemorrhage (FMH) at 36 weeks of gestation after presenting with decreased fetal movements in the days prior. The placenta macroscopically appeared normal.
View Article and Find Full Text PDFNiger J Clin Pract
March 2021
Department of Preventive Dentistry,, Gynaeconology and Perinatology, Obafemi Awolowo University Teaching Hospital, Ile Ife, Nigeria.
Choricarcinoma co-existing with pregnancy is rare often misdiagnosed with great potential for hemorrhagic complications and death. We present a case of a 34-year-old woman diagnosed with choriocarcinoma in her 3 pregnancy with vaginal and pulmonary metastasis. Her first episode of vaginal bleeding was in the third trimester which was misdiagnosed.
View Article and Find Full Text PDFThis is a case report of a 56-year-old woman with a history of postmenopausal bleeding, who presented with an endometrioid adenocarcinoma and a co-existing non-gestational choriocarcinoma. We performed robotic assisted hysterectomy, bilateral oophorectomy and pelvic lymphadectomy, and histopathologic examination revealed a malignant tumour showing an endometrioid adenocarcinoma grade 2 with a minor component of choriocarcinoma incorporated into the adenocarcinoma. We compared data from exome sequencing of DNA from tumour and blood to show, that the choriocarcinoma component was most likely non-gestational.
View Article and Find Full Text PDFPathol Int
September 2016
Department of Obstetrics and Gynecology, School of Medicine, Jichi Medical University, Japan.
Ovarian non-gestational choriocarcinomas co-existing with adenocarcinoma are extremely rare and have been reported as epithelial ovarian carcinomas of a "non-germ cell origin" with "choriocarcinomatous differentiation". Although the cellular origin of non-gestational choriocarcinoma may be post-meiotic ovarian germ cells or the dedifferentiation of epithelial ovarian carcinoma, detailed genetic evidence has not yet been obtained to support this. We herein present a case of ovarian non-gestational choriocarcinoma co-existing with adenocarcinoma in a 29-year-old woman.
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