A Rare Case of Postmenopausal Bleeding: Choriocarcinoma

Abstract

Choriocarcinoma is an aggressive malignant tumor comprised of sheets of anaplastic cytotrophoblast/syncytiotrophoblast cells. The majority of choriocarcinoma cases are of intra-uterine, gestational origin and generally develops within the first year following pregnancy, consequently it is generally observed within reproductive age groups. A 58-year-old woman was presented to our clinic with vaginal bleeding in the preceding months. The serum B-HCG level was 12414 mIU/mL. A pelvic ultrasound showed a 41/span> 37 mm heterogeneous mass on the right anterior fundal wall of the corpus uteri, to which blood flow was increased on colour Doppler examination. Here in study, we present a case of postmenopausal uterine choriocarcinoma. Practitioner must be awareness of choriocarcinoma as a cause of postmenopausal vaginal bleeding.




doi: http://dx.doi.org/10.4021/jcgo19w