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World Journal of Advance Healthcare Research (WJAHR) is giving Best Article Award in every Issue for Best Article and Issue Certificate of Appreciation to the Authors to promote research activity of scholar.
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Abstract
CLINICALLY DIAGNOSED CASE OF SUBMUCOSAL FIBROID TURNED AS CHORIOCARCINOMA -A RARE CASE REPORT
Dr. Rita D. and *Dr. Anita Janadri
ABSTRACT
Gestational trophoblastic disease is used to describe various group of diseases related to abnormal proliferation of placental trophoblast. Locally invasive and metastatic GTN are about 15 % and 4% respectively after suction and evacuation. Incidence of non gestational choriocarcinoma - <1% A 37year old patient with Para 4 living4 abortions 2, admitted with complaints of heavy menstrual bleeding since 1yr. On GPE -pallor present. Perabdomen- soft, NT. Perspeculum - bleeding present through the os. Bimanual examination- uterus bulky(8wks size). Underwent TAH with left salphingoophorectomy. Gross apperance of cut section - soft in consistency, torturous vessels, bleeds on touch. (? Submucosal fibroid or choriocarcinoma). Specimen sent for HPE. Gestational choriocarcinoma can present with various clinical signs, symptoms at anyage. Always high degree of clinical suspicion is essential for early diagnosis and management.
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