Case Report

Dysgerminoma Masquerading as Gestational Trophoblastic Neoplasia

Table 1

Differential diagnosis of elevated beta-human chorionic gonadotropin (β-hCG).

ObstetricNew intrauterine pregnancy
Missed abortion
Ectopic pregnancy
Molar pregnancy
OncologicGestational trophoblastic neoplasia (placental site trophoblastic tumor, epithelioid trophoblastic tumor, choriocarcinoma, and invasive moles)
Embryonal carcinoma
Dysgerminoma
Non-gynecologic cancers (kidney, bladder, lung, breast, and gastrointestinal)
OthersHeterophilic antibodies
Peri-menopausal pituitary production
Quiescent β-hCG
Exogenous β-hCG