Gastrointestinal Choriocarcinoma:

Case Report

 

Okiro P.O.1 MBChB, Oigara R.O.2 MBChB, MMed, Ndonga A.K.2 MBChB, MMed, Gachii A.K.1 MBChB, MMed (Path). 1-Aga Khan University Hospital Nairobi, Department of Anatomic Pathology, 2-St. Mary’s Mission Hospital Nairobi. Correspondence: Patricia O. Okiro, Department of Pathology, Aga Khan University Hospital, P.O. Box 30270, 00100, Nairobi, Kenya. E-mail: patokiro@ yahoo.com

 

Summary

Extragonadal choriocarcinomas are rare tumours which are difficult to diagnose. Choriocarcinomas involving multiple sites of the gastrointestinal tract have been rarely reported. We report a case of a 23 year old Para 1+1 female patient presenting with anaemia and malaena stools for several months. Endoscopy revealed lesions in the stomach, ileum and colon which were found to be choriocarcinomas. Serum β-hCG levels were also markedly raised. An index of suspicion and a multidisciplinary approach involving the clinical, radiological and pathology teams should aid in arriving at the right diagnosis.Serum β-hCG is an inexpensive non-invasive test that greatly assists this diagnosis.

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