简介:Theclinicalpresentationsofgestationalchoriocarcinomavarymarkedly,andamisdiagnosiscouldbemadeinatypicalpatientsifsimplyrelyingonclinicalfeatures.Laparoscopicresectionofuterinemasslesionisrarelyusedingestationalchoriocarcinomadiagnosisbecauseofthefearofheavybloodlossanddistantmetastasis.Fivepatientswhowerepreoperativelydiagnosedashavingcornualpregnancyunderwentlaparoscopicresectionofmasslesionandthenprovedtohavegestationalchoriocarcinomabasedonpathologicalexaminations.Chemotherapywasstartedwithintwodaysaftersurgery,andtherateofcompleteremissionwas100%.Themeanfollow-uptimewas29.8±19.1months,andnopatientshowedsignsofrelapse.Laparoscopicresectionofuterinemassfollowedbytimelypostoperativechemotherapymaybeaneffectiveandsafewaytoobtainpathologicresultsinpatientswithsuspectedgestationalchoriocarcinoma.