Primary cervical choriocarcinoma.

A case of primary cervical choriocarcinoma in a 40-year-old Indian woman is reported. Though malignant transformation of a cervical pregnancy is a possibility, we believe that a D & C performed three years ago could also be the source of trophoblasts implantation in the cervix followed by subsequent malignant transformation. Primary cervical choriocarcinoma should be considered a differential diagnosis in a woman of child-bearing age presenting with postcoital bleeding and having a negative cervical cytology. A timely beta hCG assay may confirm the diagnosis and prompt early treatment.