Journal of Mid-life Health Journal of Mid-life Health
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Year : 2014  |  Volume : 5  |  Issue : 3  |  Page : 159-161

Postmenopausal choriocarcinoma: A rare case report

Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India

Correspondence Address:
Dr. Setu Rathod
IV-D, Type 2 staff quarters, Mahatma Gandhi Medical College Campus, Pillaiyarkuppam, Pondicherry - 607 402
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-7800.141229

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Choriocarcinoma is a highly malignant epithelial tumor originating from trophoblast. It primarily occurs during the fertile period. Postmenopausal uterine choriocarcinoma is very rare. We present a case of choriocarcinoma in a postmenopausal lady developing 5 years after menopause. She presented with heavy postmenopausal bleeding along with passage of vesicles per vaginum. Serum beta-hCG was 96,484 mIU/ml. Emergency abdominal hysterectomy with bilateral salpingo-ooperectomy was done due to intractable bleeding following suction and evacuation. Histopathology revealed uterine choriocarcinoma. She was treated with EMACO regimen following which her beta-hCG returned to normal in five cycles. The patient is under regular follow-up and is doing well.

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