CHORIOCARCINOMA OF THE BLADDER - REPORT OF A CASE OF PRIMARY TUMOR ORLATE METASTASIS OF A MOLAR PREGNANCY

Choriocarcinoma of the bladder was diagnosed in a 54-year-old woman pr esenting with macroscopic hematuria 17 years following evacuation of a molar pregnancy. The patient was treated by cystoscopic transurethral tumour resection followed by three courses of triple-agent chemothera py and total abdominal hysterectomy with bilateral salpingo-oophorecto my. Six months later a gradual rise in beta-human chorionic gonadotrop in levels led to the diagnosis of recurrent bladder tumor at the site of the previous tumor. The patient underwent a conservative partial cy stectomy, and 12 months postoperatively there was no evidence of disea se. It is unclear whether the patient developed a primary urinary blad der choriocarcinoma or late metastatic disease from the previous molar pregnancy.