Magnetic Resonance Imaging of Vulvar Choriocarcinoma Following Partial Molar Pregnancy: A Case Report

Authors

DOI:

https://doi.org/10.59667/sjoranm.v9i1.12

Keywords:

Gestational Choriocarcinoma, Vulva, Gestational Trophoblastic Neoplasia (GTN), Magnetic Resonance Imaging (MRI)

Abstract

We describe the magnetic resonance imaging (MRI) findings in a 26-year-old woman with a clinical diagnosis of vulvar choriocarcinoma four months after suction evacuation of a histologically confirmed partial molar pregnancy. She presented with menorrhagia and a serum β-human chorionic gonadotropin (β-hCG) level of 30,292 IU/L. Pelvic MRI demonstrated a 3.6 × 2.8 × 2.4 cm right sublabial mass with heterogeneous T2 hyperintensity, hemorrhagic components, flow voids, restricted diffusion and avid enhancement, with non-enhancing areas interpreted as necrosis. The uterus and adnexa appeared normal. Following EMA-CO chemotherapy, β-hCG decreased to 464 IU/L after the first cycle and 0.32 IU/L after the fifth cycle. Follow-up MRI showed no significant residual vulvar lesion, and the patient was reported to be asymptomatic. This case illustrates pretreatment and follow-up MRI findings in clinically diagnosed vulvar choriocarcinoma in the context of an antecedent molar pregnancy.

Author Biographies

  • Prof. Dr. Babu P. Sathyanathan, Barnard Institute of Radiology , Madras Medical College, Rajiv Gandhi General Hospital, Chennai, Tamil Nadu, India

     

     

  • Venkatakrishnamurali Maheswari Mridhula, Barnard Institute of Radiology , Madras Medical College, Rajiv Gandhi General Hospital, Chennai, Tamil Nadu, India

    Mridhula

References

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SJORANM article cover, Vol. 9 No. 1 (2024). Holographic symbolic illustration for article 31.

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Published

2024-06-09

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Vol. 9 No. 1 (2024)

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Case reports

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Copyright (c) 2024 Prof. Dr. Babu P. Sathyanathan, Venkatakrishnamurali Maheswari Mridhula

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How to Cite

Sathyanathan, B. P., & Mridhula, V. M. (2024). Magnetic Resonance Imaging of Vulvar Choriocarcinoma Following Partial Molar Pregnancy: A Case Report. Swiss Journal of Radiology and Nuclear Medicine, 9(1), 1-6. https://doi.org/10.59667/sjoranm.v9i1.12

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