NON GESTATIONAL OVARIAN CHORIOCARCINOMA

Ovarian choriocarcinoma may be gestational, arising from ovarian pregnancy or metastases from the uterine choriocarcinoma. It may be non-gestational arising from one element of a solid teratoma. Pure non-gestational choriocarcinoma of the ovary is extremely rare. Most patients present before 20 years of age. Isosexual precocious puberty is common (50%). It consists of both cytotrophoblasts and syncitiotrophoblasts and secretes gonadotropins (hCG) which is utilized as a marker in diag-nosis and follow up.

Unlike gestational choriocarcinoma, it is not so sensitive to methotrexate. Prognosis is poor.

HOMOEOPATHIC MEDICINE: -

The medicines that can be thought of use are: -

• Baryta iodide
• Calcarea Flour
• Silicea
• Conium
• Phytolacca
• Phosphorus