Non-gestational choriocarcinomas in postmenopausal period

Non-gestational choriocarcinomas (NGCCs) are extremely rare and aggressive tumours that can develop without pregnancy. We present three cases in postmenopausal women in their early 60s and 70s who presented with abdominal symptoms. Evaluation included imaging, histopathology, immunohistochemistry and elevated serum β-hCG. One patient showed a partial response to chemotherapy, while two had disease progression and died. The case series illustrates the need for consideration of NGCC in older women with elevated β-hCG and no recent pregnancy, and the crucial role of early immunohistochemical diagnosis.

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Publication Details

Journal
BMJ Case Reports
Published
2025-12-01
DOI
https://doi.org/10.1136/bcr-2025-268341
Primary Topic
Gestational Trophoblastic Disease Studies
Type
article
Field-Weighted Citation Impact
0.00
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article

Non-gestational choriocarcinomas in postmenopausal period

Dharmishtha Basu, Varun Goel, Vineet Talwar, Arpit Jain et al.
BMJ Case Reports
Gestational Trophoblastic Disease Studies
article

Non-gestational choriocarcinomas in postmenopausal period

Dharmishtha Basu, Varun Goel, Vineet Talwar, Arpit Jain, Nivedita Patnaik, Aakanksha Jaju
article en

Abstract

Non-gestational choriocarcinomas (NGCCs) are extremely rare and aggressive tumours that can develop without pregnancy. We present three cases in postmenopausal women in their early 60s and 70s who presented with abdominal symptoms. Evaluation included imaging, histopathology, immunohistochemistry and elevated serum β-hCG. One patient showed a partial response to chemotherapy, while two had disease progression and died. The case series illustrates the need for consideration of NGCC in older women with elevated β-hCG and no recent pregnancy, and the crucial role of early immunohistochemical diagnosis.

BMJ Case ReportsVol. 18(12)
Vardhman Mahavir Medical College & Safdarjung Hospital (IN), Max Super Speciality Hospital (IN), Rajiv Gandhi Cancer Institute and Research Centre (IN), Bhagwan Mahaveer Cancer Hospital and Research Centre (IN), BLK Super Speciality Hospital (IN)
Openalex Percentile: Top 48%
Gestational Trophoblastic Disease Studies
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