[Unusual antenatal gestational choriocarcinoma]

Abstract

Choriocarcinoma is a rare and aggressive tumor that occurs mainly after a molar pregnancy, and exceptionally during a diploid viable pregnancy. We report a case of a 30 years old primipare that revealed a choriocarcinoma at 37 weeks by a generalized seizure. This unusual event did not, however, delay the early introduction of chemotherapy even in the absence of histological diagnosis. This diagnosis must be evoked in woman with genital activity presenting an unknown tumor. Treatment can be started without waiting for the histological evidence, due to the important feature of the hCG assay, significantly improving the prognosis.

Keywords: Choriocarcinoma; Choriocarcinome; Convulsion; Gestational trophoblastic neoplasia; Grossesse; Pregnancy; Prognosis; Pronostic; Tumeur trophoblastique gestationnelle.