Uterine Choriocarcinoma:A Diagnostic Challenge (A Rare Case)

Choriocarcinoma is a rare form of cancer, which commonly occurs in women of reproductive age, rarely in postmenopausal women and in women under 20 years of age. This case reports a 31-year-old P₃L₃ woman, who was presented to the emergency room with complaints of profuse bleeding per vaginum. Although the initial diagnostic and radiographic findings favored the possibility of uterine arterio-venous (AV) malformation and treatment was planned accordingly, it was the final histopathological findings that confirmed the entity as Choriocarcinoma of the uterus.

The purpose of reporting this case is to highlight the need for differential diagnoses to be considered in a limited resource emergency situation. The need for accurate diagnosis is of paramount importance, because definitive treatment is largely based on it, and it is possible to achieve a 100% cure rate in low risk patients; 80-85% in high-risk patients with Choriocarcinoma of uterus.