Publication:

An extremely rare aggressive neoplasm choriocarcinoma of ovary: a case report

Choriocarcinoma of ovary is an extremely rare neoplasm. Based on its origin it is gestational and non-gestational. Gestational ovarian choriocarcinoma can arise from an ectopic pregnancy or present as a metastasis from a uterine or tubal choriocarcinoma. Its incidence is 1 in 369 million pregnancies whereas non-gestational ovarian choriocarcinoma originates from germ cells and its incidence is<0.6% of ovarian germ cell neoplasm. A case report of a 26-year-old female came to our hospital with complain of pain in her abdomen with an abdominal mass for 20 days with a history of D&C 1 month back for early pregnancy of 8 weeks, here we investigated and diagnosed her as a neoplastic ovarian mass. Then the patient was taken for exploratory laprotomy with TAH with retroperitoneal mass removal with right ovarian mass removal with sigmoidectomy with colostomy with mesenteric LN sampling. Ovarian choriocarcinoma is difficult to diagnose due to its nonspecific presentation. It is commonly diagnosed after surgical management of abdominal mass. The definitive diagnosis can only be confirmed after molecular genetic analysis. Gestational choriocarcinoma is extremely rare aggressive neoplasm with metastatic transformation having poor prognosis.