Postmenopausal Choriocarcinoma: Case Report and Literature Review

Choriocarcinoma is a gestational trophoblastic tumor that mainly affects women of childbearing age and rarely occurs in postmenopausal women especially following a long latent period from previous pregnancies. In this case report, we introduce three cases of postmenopausal choriocarcinoma with different clinical signs and symptoms.
Case Report: The first patient was admitted with vaginal wall metastasis, and the second and third cases with postmenopausal vaginal bleeding. They were referred to the department of gynecology-oncology at Ghaem hospital in 2015. One case had stage I and two patients stage III of the disease. Treatment was initiated with EMA-CO regimen according to the histopathology of choriocarcinoma in these patients. Complete remission was achieved with chemotherapy for all three cases.
Concusions: The possibility of choriocarcinoma should be considered as a differential diagnosis in postmenopausal vaginal bleeding and in postmenopausal women with metestatic lesions.