Primary ovarian choriocarcinoma mimicking ectopic pregnancy
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Case report
A 12-year-old virgin woman presented with a 20-day history of vaginal bleeding and one-day duration of lower left quadrant abdominal pain. Her last menstrual period was 1 month ago and perimenstrual period was irregular. She had a pelvic ultrasonography, abdominopelvic computed tomography and pelvis magnetic resonance imaging, and was tested for urine human chorionic gonadotropin (hCG) at Samsung Changwon Hospital. She was transferred to our hospital under the impression of ovarian malignant tumor.

Examination at our hospital revealed increased serum hCG level (20,257 mIU/mL) and increased lactate dehydrogenase level (421 mg/dL). Other tumor markers including CA-125, CA-19-9, and alpha-fetoprotein were within normal ranges. Pelvic ultrasonography revealed a 3.83×3.43 cm sized solid, cystic, heterogeneous lesion on the left ovary. Abdominopelvic computed tomography and pelvis magnetic resonance imaging revealed an approximately 2.8 cm sized hemorrhagic cystic lesion with enhancing portion and enhancing salpinx, left ovary and suspected ectopic pregnancy.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4124097/
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