Choriocarcinoma in Ongoing Pregnancy Presenting with Intracranial Metastasis
Published: November 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/19344.8769
Sujata Siwatch, Vanita Suri, Pooja Sikka, Neelam Aggarwal, Seema Chopra
1. Assistant Professor, Department of Obstetrics and Gynecology, PGIMER, Chandigarh, India.
2. Professor, Department of Obstetrics and Gynecology, PGIMER, Chandigarh, India.
3. Associate Professor, Department of Obstetrics and Gynecology, PGIMER, Chandigarh, India.
4. Additional Professor, Department of Obstetrics and Gynecology, PGIMER, Chandigarh, India.
5. Associate Professor, Department of Obstetrics and Gynecology, PGIMER, Chandigarh, India.
Correspondence
Dr. Sujata Siwatch,
Department of Obstetrics and Gynecology, PGIMER, Sector-12, Chandigarh, India.
E-mail: siwatch1@yahoo.com
Choriocarcinoma presents usually as persistent trophoblastic disease, with prognosis worsening with duration from antecedent pregnancy. We present a unique case of a woman with choriocarcinoma who presented in the third trimester of pregnancy with eclampsia. She was managed with magnesium sulphate and underwent a caesarean section. However, she developed seizures in the post-partum period that were further investigated and attributed to intracranial metastatic lesions of Gestational Trophoblastic Neoplasia (GTN). We discussed the diagnostic challenge in this rare case of GTN and the grave potential it can have in such a presentation, as in our patient.
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