Volume 3 ∙ Number ∙ 2 ∙ 2010<br /> Page 79<br /> GINGIVAL METASTASE AND INTRACEREBRAL HAEMORRHAGE RESULTING FROM UNSUSPECTED CHORIOCARCINOMA: A CASE REPORT
Journal Title: Journal of International Dental and Medical Research - Year 2010, Vol 3, Issue 2
Abstract
Gestational choriocarcinoma is a higly malignant epithelial tumour arising from the trophoblasts of any type of gestational event, most often a hydatidiform mole . Choriocarcinoma is for all practical purposes limited to reproductive age women but rare examples of choriocarcinoma in postmenoupausal women have been reported. In case of a 24- years- old was a female patient with left hemiparalysis. Biopsy that obtained from lower gingival ulcer indicated the availability of choriocarcinoma metastasis. Before putting her ın our intensive care unit she suddenly became unconscious. Focally haemorrhagic fragile gingival tissue (grossly, 1× 1× 0.5 cm) was processed. In the formaline fixed , paraffin embedded and hematoxylin and eosin(H&E) stained slides, beneath the stratified squamous epithelia, there was tumoral infiltration. Tumor was consisted of abnormal cytotrophoblasts and syncytiotrophoblasts cells and diffuse intercerebral haemorrhage. In this report we presented a rare case of metastatic gingival choriocarcinoma and intracranial haemorrhage resulting from an unsuspected choriocarcinoma metastasis.
Authors and Affiliations
Mehmet Tasdemir, Ayfer Aktas, Nebahat Tasdemir, Yusuf Nergiz
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