"Hysteroscopic ablation of Choriocarcinoma in a patient resistant to chemotherapy "

Abstract

Gestational Trophoblastic Neoplasia ( GTN) is one of the most common gynecologic tumors in our country. Despite development of effective chemotherapy: some cases remain resistant and if there is only focus of tumor, resection would be indicated.We present a young woman with stage 1 persistant GTN showing no response to chemotherapy. Transvaginal sonograpy revealed trophoblastic tissue in the uterus. Metastatic work up was negative. Tumor was resected by hyteroresectoscopy, and there was no need for subsequent chemotherapy, BHCG remained negative after 26 months of follow up.

Keywords

• Trophoblastic tumor
• Hystroscopic resection
• Chemotherapy resistant gestational trophoblastic neoplasia (GTN)
• Choriocarcinoma