گزارش يك مورد كوريوكارسينوم متاستاتيك در بيمار يايسه

Metastatic Choriocarcinoma in Postmenopausal Woman: A Case report

Introduction: Gestational trophoblastic neoplasia (GTN) usually occurs during womenʹs reproductive ages and it is very unusual in postmenopausal women. The aim of this study is to present a case ofGTN in a postmenopausal woman. Case Report: A 60-year-old woman with history of vaginal bleeding and a mass lesion was admitted to Ghaem hospital affiliated to Mashhad university of medical sciences. She afterwards underwent surgical biopsy of vaginal mass and histological evaluat ion revealed metastatic choriocharcinoma. Investigation for extention of metastases performed and the final diagnosis was a stage IIIc choricaricnoma. Patient received EMA-CO regimen chemotherapy (Etoposide, Methotrexate, Actinom ycin e, Cyclophosphamide, Vincristin) and after seven courses of chemotherapy she experienc ed a comp lete relie f. Conclusion: Physicians should not ignore the possibility of GTN in different ages with a variety of presentations.