Of all forms of gestational choriocarcinoma, placental choriocarcinoma is the most rare and is usually diagnosed in symptomatic patients with metastases. The incidental finding of a choriocarcinoma confined to the placenta with no evidence of dissemination to mother or infant is the least common scenario.
We report the case of a 34-year-old woman diagnosed with abundant vaginal bleeding after term pregnancy at three months after the delivery of a healthy baby.
Abdominal ultrasonography revealed an intracavitary uterine tumoral mass with signs of myometrial invasion to the uterine serosa. The pretreatment human chorionic gonadotropin (HCG) level was 1500 000 IU/Ml.
Remove the tumor impossible owing to its extension to the digestive and the large vessel, necrosis and hemorrhagic character, we were limited to a biopsy of the tumor.
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