Spontaneous first‐trimester perforation of the uterus following Cesarean scar pregnancy choriocarcinoma

Choriocarcinoma following scar pregnancy: a case report

“…The case reported by Sherer DM et al was spontaneous uterine perforation of the uterus following caesarean scar choriocarcinoma. 7 In our case, the index pregnancy was non molar and nothing warranted a close follow up. She had an episode of bleeding four weeks after surgery which she assumed to be a normal cycle.…”

“…Literature review showed four cases of malignant gestational trophoblastic neoplasia in a scar. [5][6][7][8] The case reported by T Bekci et al was choriocarcinoma following a molar pregnancy in a scar for which hysterectomy was done. 8 The case report by Antonella V et al was a partial molar scar pregnancy which evolved into an invasive mole.…”

“…Different modalities of management are available but there is no consensus as to the best one. [5][6][7][8] Here failed evacuation was followed by a dose of systemic methotrexate. As HCG was rising scar ectopic was evacuated through a hysterotomy.…”

“…4 Choriocarcinoma developing in the lower uterus following a scar pregnancy is extremely rare. [5][6][7][8] Here is a case of choriocarcinoma which developed in lower uterus within five months of removal of a scar pregnancy.…”

Identification and treatment of gestational trophoblastic neoplasia located in the cesarean scar

“…With the increasing rate of cesarean delivery worldwide, particularly in China, conditions accompanying cesarean scars have aroused extensive attention. However, there is a paucity of studies reporting GTN in the cesarean scar; thus, limited information is available regarding the risk factors, clinical presentation, prognosis, and best treatment modality. Given that this location of GTN is extremely rare, cesarean scar lesions are often misdiagnosed as cesarean scar pregnancy (CSP), threatened abortion, cervical pregnancy, and even cervical neoplasms .…”