UNIGE document Professional Article - Case report
previous document  unige:28805  next document
add to browser collection
Title

A pelvic mass on ultrasonography and high human chorionic gonadotropin level: not always an ectopic pregnancy

Authors
Published in BMJ Case Reports. 2012, vol. 2012
Abstract A 24-year-old patient with 7-week amenorrhoea consulted for vaginal bleeding without abdominal pain. Ultrasonography revealed a 7 × 4 cm solid right pelvic mass. There was no visible intrauterine gestational sac. The serum β-human chorionic gonadotropin (β-hCG) level was 11 998 IU/l. Emergency laparoscopy was performed for a presumptive diagnosis of ectopic pregnancy. At laparoscopy, the right ovary was enlarged with a non-haemorrhagic 7 × 4 cm solid lesion, which was resected. The histological diagnosis was a dysgerminoma with immunohistochemistry showing nests of syncytiotrophoblastic cells, which were the origin of the hCG production. There was no pregnancy, either intrauterine or ectopic. There was no evidence of metastasis from the dysgerminoma on the positron-emission tomography scanner. The patient underwent a second procedure for surgical staging of this ovarian germ-cell tumour. This ovarian dysgerminoma was staged FIGO 1A, and the patient did not receive adjuvant therapy. There was no recurrence at the last 8-month follow-up.
Identifiers
PMID: 22669919
Full text
Article (Published version) (231 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research group Groupe Petignat Patrick (933)
Citation
(ISO format)
ROZENHOLC, Alexandre et al. A pelvic mass on ultrasonography and high human chorionic gonadotropin level: not always an ectopic pregnancy. In: BMJ Case Reports, 2012, vol. 2012. https://archive-ouverte.unige.ch/unige:28805

250 hits

2 downloads

Update

Deposited on : 2013-07-08

Export document
Format :
Citation style :