Case contributed by Abdel-Rahman Abdel-Halim
Diagnosis certain


Lower abdominal pain and vomiting. Ultrasound revealed a uterine mass of heterogeneous echogenicity. Dilatation and curettage was done and a choriocarcinoma was diagnosed histopathologically.

Patient Data

Age: 45 years
Gender: Female

The uterus is globally enlarged by virtue of a poorly defined soft tissue mass lesion. The mass lesion shows internal hypodense fluid content with marginal heterogeneous, avidly enhancing solid soft tissue. No exophytic soft tissue growth detected. Associated engorged parametrial vasculatures.

The enlarged uterus is seen smoothly indenting the rectal segment posteriorly.

Note: A small subcutaneous cystic collection is seen at the anterior abdominal wall at the epigastric region with smudged surrounding fat planes.


Case Discussion

In this case, the patient has abdominal pain, vomiting and marked elevated Beta hCG levels.  

Ultrasonography revealed a uterine mass of heterogeneous echogenicity with increased vascularity.
Dilatation and curettage was done and a choriocarcinoma was diagnosed histopathologically.

Radiologically choriocarcinoma may be indistinguishable from an invasive mole.

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