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Saturday 28 October 2023

CASE 713: CHORIOCARCINOMA and ECTOPIC PREGNANCY , Dr PHAN THANH HẢI, Dr PHAN NGOC NGOAN, BINH AN HOSPITAL - MEDIC MEDICAL CENTER, HCMC, VIETNAM


There are  03 cases in the topic of Choriocarcinoma that are noted a correlation to the corneal ectopic pregnancy. All of cases went through a laparoscopic resection of the angle of the uterus and monitoring the value of betaHCG for months to coming back of normal betaHCG  value. 

Case 01: A 34 yo female patient in hemorrhagic shock, painful abdomen due to ectopic pregnancy.  






TVS proved a corneal ectopic pregnancy and a laparoscopic resection of the angle of the uterus was done. But beta HCG raised continuously # 15,535 and a decision of hysterectomy was made. And chemotherapy later was managed. 



Case 02: A 37 yo female patient went through a laparoscopic resection of the angle of uterus as  left corneal ectopic pregnancy aged 7 weeks. 

Post-op the beta HCG was 15,055. So it was a choriocarcinoma with ectopic pregnancy. MTX chemotherapy was done and saved the female patient. 

Case 03: A 28 yo female patient with right corneal ectopic pregnancy and laparoscopic resection of the angle of uterus was done for the right corneal uterus. 



But beta HCG got down slowly  for 2 months and it was only a case of placental retention. 




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