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Concurrent term pregnancy and choriocarcinoma: A case report

Paula B. Cabanag, MD and Rommel Z. DueƱas, MD, FPOGS, FSGOP
Department of Obstetrics and Gynecology, Dr. Paulino J. Garcia Memorial Research and Medical Center

Term pregnancy with choriocarcinoma is a rare entity and cases where both the mother and fetus survive are even more rare. This paper discusses the case of a term pregnancy with a concomitant choriocarcinoma in a 21 yearold, gravida 2 para 0, who presented with hematochezia on the third trimester. She delivered via cesarean section for non-reassuring fetal status with good neonatal outcome. She underwent exploratory laparotomy postdelivery due to profuse gastrointestinal bleeding associated with deteriorating hemodynamic status. Histopathologic report revealed Ileal Choriocarcinoma. Metastatic work up showed liver and lung metastasis. The patient achieved remission after 8 cycles of EMACO chemotherapy. There was no evidence of recurrence in the subsequent 10 months of regular follow up.