Choriocarcinoma of the bladder. Report of a case of primary tumor or late metastasis of a molar pregnancy
Yishai, D.; Atad, J.; Bornstein, J.; Sova, Y.; Mecz, Y.; Lurie, A.; Lurie, M.; Abramovici, H.
Journal of Reproductive Medicine 40(6): 482-484
1995
ISSN/ISBN: 0024-7758 PMID: 7650666 Document Number: 441384
Choriocarcinoma of the bladder was diagnosed in a 54-year-old woman presenting with macroscopic hematuria 17 years following evacuation of a molar pregnancy. The patient was treated by cystoscopic transurethral tumor resection followed by three courses of triple-agent chemotherapy and total abdominal hysterectomy with bilateral salpingo-oophorectomy. Six months later a gradual rise in beta-human chorionic gonadotropin levels led to the diagnosis of recurrent bladder tumor at the site of the previous tumor. The patient underwent a conservative partial cystectomy, and 12 months postoperatively there was no evidence of disease. It is unclear whether the patient developed a primary urinary bladder choriocarcinoma or late metastatic disease from the previous molar pregnancy.