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Year : 2019  |  Volume : 10  |  Issue : 1  |  Page : 81-82

Tubal choriocarcinoma in a ruptured ectopic pregnancy

1 Department of Pathology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria
2 Department of Obstetrics and Gynecology, Federal Medical Centre, Birnin Kebbi, Nigeria

Correspondence Address:
Dr. Kabir Aliyu Suleiman
Department of Pathology, University of Ilorin Teaching Hospital, Ilorin, Kwara State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/atp.atp_39_18

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Choriocarcinoma represents the most malignant entity in the spectrum of gestational trophoblastic disease. It can result from molar gestation in most instances and occasionally can arise after a term pregnancy, abortion, and ectopic pregnancy. Choriocarcinoma associated with tubal pregnancy is extremely rare and aggressive in its course with the incidence of 0.76%–0.4% of all ectopic pregnancies. This case report is from a 32-year-old female G2P1 + 0A1 whose last menstrual period was 4 months before presentation. She presented with a 2-day history of lower abdominal pain and vomiting. Histological sections of the fallopian tubal tissue showed extensive hemorrhage, necrosis and invasion by bizarre trophoblastic cells with large pleomorphic nuclei, irregular nuclear borders, and clumped chromatin.

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