Sait Hesham K, Alghamdi Fahad, Ragab Yaser, Aljadani Sarah, Sait Khalid H
Obstetrics and Gynecology, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.
Obstetrics and Gynecology, Tom Baker Cancer Centre, University of Calgary, Calgary, CAN.
Cureus. 2024 Aug 9;16(8):e66487. doi: 10.7759/cureus.66487. eCollection 2024 Aug.
Non-gestational choriocarcinoma of the ovary is extremely rare and presents diagnostic and therapeutic challenges. Early recognition, appropriate surgical intervention, and adjuvant chemotherapy are essential for successful management. This case underscores the importance of considering choriocarcinoma in the differential diagnosis of ovarian tumors, especially in perimenopausal women with vascular mass. We present the case of a 47-year-old sexually active woman with a history of pelvic pain, diagnosed with non-gestational choriocarcinoma of the ovary. The patient underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy with successful management using the bleomycin, etoposide, and platinum (BEP) regimen. This case highlights the importance of early detection and appropriate management of this rare entity.
卵巢非妊娠性绒毛膜癌极为罕见,在诊断和治疗方面均具有挑战性。早期识别、恰当的手术干预以及辅助化疗对于成功治疗至关重要。该病例强调了在卵巢肿瘤的鉴别诊断中考虑绒毛膜癌的重要性,尤其是对于有血管性肿块的围绝经期女性。我们报告一例47岁有性生活史的女性,有盆腔疼痛病史,被诊断为卵巢非妊娠性绒毛膜癌。该患者接受了全腹子宫切除术及双侧输卵管卵巢切除术,并采用博来霉素、依托泊苷和顺铂(BEP)方案成功治疗。本病例突出了早期发现和恰当处理这种罕见疾病的重要性。