Igcs 19-0479 358 contralateral recurrent phyllodes tumor of the vulva in a teenager 1

360 Figure 1 Abstracts IJGC 2019;29(Suppl 3):A1–A197 A149 on Jne 7, 2021 by gest. P rocted by coright. http/ijgc.bm jcom / nt J G ynecol C acer: frst pulished as 10.11jgc-2019-IG C S .60 on 18 S etem er 219. D ow nladed fom 450,000 miu/ml. Patient was diagnosed with acute intraabdominal bleeding. Results At the time of laparotomy, she was diagnosed with 3 liters of hemoperitoneum and uterine rupture. There was fungating mass extending out of the uterus to the peritoneal cavity. A total abdominal hysterectomy was performed. Pathology diagnosis revealed choriocarcinoma. Patient was ultimately diagnosed with Stage IV choriocarcinoma with vagina/lung/ brain metastasis and underwent treatment with multi-agent chemotherapy. Conclusions Choriocarcinoma is a fatal gynecologic malignancy when undiagnosed and untreated. In resource limited settings delay to diagnosis leads to unusual clinical presentation with serious morbidity and mortality. Increased awareness about gestational trophoblastic neoplasia and access to high quality treatment is critical for cure.