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Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (4): 626-628    DOI: 10.12891/ceog4300.2018
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Carcinoma of unknown primary site and ectopic pregnancy diagnosed at laparoscopic surgery: a rare coexistence
Munetoshi Akazawa1, *(), Yuzo Imachi1, Kiyoshi Aiko1, Kazushige Nakahara1, Sachiko Onjo1
1 Department of Obstetrics and Gynecology, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan
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Abstract  
The authors present a case of carcinoma of unknown primary site detected accidentally during laparoscopic surgery for ectopic pregnancy. A 36-year-old female patient (para 1, gravida 1) was referred to the present hospital with suspected ectopic pregnancy. Transvaginal ultrasound showed a right adnexal mass and echo-free space in the pelvic cavity. Her serum human chorionic gonadotropin level was 7,590 mIU/ml. The authors made a preoperative diagnosis of ectopic pregnancy and performed laparoscopic surgery. The ampulla of the right fallopian tube was enlarged and showed blood clotting. They noticed a white solid mass of size 1 cm on the peritoneum around the right pelvic ligament. Pathologic examination findings of the specimen were consistent with carcinoma. Immunohistochemical stains suggested high-grade neuroendocrine carcinoma. Routine metastatic workup could not reveal the original site. The final diagnosis was carcinoma of unknown primary site. The authors reviewed other case reports on neoplasms coexisting with ectopic pregnancy.
Key words:  Ectopic pregnancy      Carcinoma of unknown primary site      Neuroendocrine tumor      Laparoscopic surgery     
Published:  10 August 2018     
*Corresponding Author(s):  M. AKAZAWA     E-mail:  navirez@yahoo.co.jp

Cite this article: 

Munetoshi Akazawa, Yuzo Imachi, Kiyoshi Aiko, Kazushige Nakahara, Sachiko Onjo. Carcinoma of unknown primary site and ectopic pregnancy diagnosed at laparoscopic surgery: a rare coexistence. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 626-628.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4300.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I4/626

[1] F.Q. Sun, T. Wang, X.H. Xu, C. Han, J. Jin. Rare case of bizarre leiomyoma in Mayer-Rokitansky-Küster-Hauser Syndrome[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 434-437.
[2] A. Lavinia Cozlea, E. Előd Élthes, Á. Török, M. Emil Capîlna. Clinical presentation, risk factors and management of ectopic pregnancy: a case-control study[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 914-919.
[3] G. Virdis, F. Dessole, A. Andrisani, A. Vitagliano, R. Cappadona, G. Capobianco, E. Cosmi, G. Ambrosini, S. Dessole. Cesarean scar pregnancy: a report of three cases and a critical review on the management[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 982-985.
[4] Z. Liu, M. Wan, H. Zhu. Fallopian tube ectopic pregnancy with renal duct cyst[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 986-987.
[5] W.D. Zou, Z.W. Liu, J. Zhang. Intramural pregnancy following transcervical resection of adhesion: a case and review literatures[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1017-1019.
[6] K. Nakamura, K. Nakayama, T. Minamoto, T. Ishibashi, K. Sanuki, H. Yamashita, R. Ono, H. Sasamori, S. Razia, M.M. Hossain, S. Kamrunnahar, M. Ishikawa, S. Kyo. A novel retrograde approach for total laparoscopic hysterectomy in patients with severe adhesion in the cul-de-sac[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 565-569.
[7] M. Meléndez Zalduegui, S. Iglesias Ferreiro, A. Rodríguez Vélez, ML. Monje Beltrán, EM. Vicedo Madrazo, RJ. Martínez Portillo, M. Llobet Roma, M. Marqueta Sánchez. Cesarean scar ectopic pregnancy, a life threatening condition: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 313-316.
[8] A. Dobrosavljevic, B. Nikolic, A. Jurisisc, N. Zečević, R. Aničić, M. Jeftović. Diagnosis and treatment of cervical ectopic pregnancy – case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 139-140.
[9] Jing Fu, Na Hu, Lin Qiao, Qiang Yao. Cornual pregnancy with placenta percreta and uterine rupture at 19 weeks' gestation[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 141-142.
[10] H. Bakhsh. Misdiagnosis of spontaneous bilateral tubal pregnancy: a case report and review of literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 168-170.
[11] Lieming Wen, Qichang Zhou, Shi Zeng. Gestational progression and blood supply assessment of a six-week primary hepatic pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 594-596.
[12] J. Hudecová, A. Hudec, Z. Novotný, D. Slouka. Pregnancy in the scar after myomectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 632-635.
[13] A. Ciavattini, N. Clemente, S. Morini, M. Fichetti, G. Delli Carpini, R. Candelari. Conservative treatment of ectopic cervical pregnancy with uterine artery embolization and cervical curettage: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 456-458.
[14] A. Jurisic, A. Dobrosavljevic, S. Dragojevic-Dikic, L.Tasic, V. Mihailovic. Spontaneous vital heterotopic pregnancy at 12 weeks' gestational age[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 464-465.
[15] Lei Yan, Bing-Qian Zhang, Xin-Xin Xu, Zhen Xu, Ting Han, Xiu-Ling Fan, Zi-Jiang Chen. Pregnancy outcomes after fresh-D3 versus frozen-D5 embryo transfer in women with an ectopic pregnancy history: a retrospective cohort study[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(1): 58-62.
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