A Case of @entity1466 Initially Diagnosed as an Ectopic Pregnancy With a Concomitant XXXX [199].

@entity1 @entity3556 @entity548 @entity39 @entity1466 @entity5 @entity957 @entity1066 @entity2371 @entity189 @entity1544 @entity1499
INTRODUCTION: We report a case of @entity1466 that was initially diagnosed as an ectopic pregnancy with a concomitant invasive @entity1544 . CASE PRESENTATION: A 35-year-old @entity1 , gravida 4 para 3, presented to an outside hospital with @entity3556 and @entity2371 . Diagnosed with ectopic pregnancy, the @entity1 was brought to the operating room. Examination under anesthesia revealed a fungating cervical mass. A biopsy was obtained, but dilatation and curettage was deemed too dangerous. The @entity1 was empirically treated with @entity1499 . The gynecology team at Einstein was contacted when the cervical biopsy returned as poorly differentiated @entity957 . The @entity1 was taken to the operating room by a gynecologic oncologist for a staging procedure, further cervical biopsy, and a failed attempt at dilatation and curettage. Pathology showed invasive poorly differentiated @entity189 with focal areas of squamous differentiation, extensive @entity1066 , @entity39 , and @entity548 . The @entity1 began chemotherapy with plans for radiation therapy. The b @entity1 chorionic gonadotropin (b-hCG) levels continued to plateau. The case was brought to the @entity5 board and the potential for a @entity1466 was then raised. The slides were reviewed and restained. With this information the diagnosis of @entity1466 was made. The chemotherapy was adjusted and the b-hCG began to fall. DISCUSSION: The case demonstrates the importance of trending b-hCG levels in the absence of a pathology report confirming products of conception. This case also demonstrates the importance of interdisciplinary discussion and review of cases to provide quality care.
