Primary Ovarian Choriocarcinoma: Case Report in a 10-year-old Patient

Abstract

The primary ovarian choriocarcinoma is a rare tumor originated from germ cells and occurs mostly associated with other tumors originated from germ cells as well. This case report describes a primary ovarian choriocarcinoma in a 10-year-old female who presentedepisodes of vaginal bleeding and abdominal enlargement. After titer, tumoral markers showed high levels of Beta-HCG and CA-125, as well as normal Alpha-fetoprotein. The patient had to undergo abdominal ultrasonography and median laparotomy respectively. The histopathological and immunohistochemical analysis were compatible with the primary ovarian choriocarcinoma clinical diagnose. After surgery, the patient died in the following day due to tumor emboli from lung neoplasms. Thus, it was concluded that these neoplasms are very aggressive, cause premature metastasis in most cases and present unfavorable prognosis, mainly in youths under 20 years old.