Successfully Conservative Treatment of Large Cervical Choriocarcinoma with Profuse Vaginal Bleeding
Anchalee Chandacham MD*, Chumnan Kietpeerakool MD**, Surapan Khunamornpong MD***, Prapaporn Suprasert MD**, Jatupol Srisomboon MD**, Kittipat Charoenkwan MD**, Chailert Phongnarisorn MD**, Chalong Cheewakraingkrai MD**, Sitthicha Siriaree MD**, Charuwan Tantipalakorn MD**
Affiliation : * Department of Obstetrics and Gynecology, Nakornping Hospital, Chiang Mai, Thailand ** Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand *** Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Primary choriocarcinoma of the uterine cervix is a rare disease. The accurate diagnosis of such a disease is difficult to achieve because of its rarity. Furthermore, the majority of cases presented with abnormal vaginal bleeding that could be caused by other more common conditions including, threatened abortion, cervical polyp, cervical pregnancy, or cervical cancer. In the present report, the authors present a case of large cervical choriocarcinoma with life-threatening vaginal bleeding, which was initially misdiagnosed as a cervical cancer. The active cervical bleeding was successfully controlled with selective uterine arterial embolization. Remission of cervical choriocarcinoma was accomplished with combination chemotherapy without the need of hysterectomy.
Keywords : Primary choriocarcinoma, Conservative treatment, Vaginal bleeding
