Choriocarcinoma presenting as skin lesions and back pain.

Abstract Choriocarcinoma is one of the malignant tumors mostly arising from trophoblastic cells and less likely to arise from germ cells in the testis or ovary or derives from dedifferentiation of other carcinomas. It is characterized by the secretion of Beta Human Chorionic Gonadotrophin (B-HCG). The most common sites of systemic metastatic of choriocarcinoma are lungs, liver and brain via hematogenous spread. Skin and spine are rare sites for metastatic choriocarcinoma, and even more rare as the initial presenting site for the disease. Herein we present a case of a 55 year- old female who was diagnosed with choriocarcinoma post hysterectomy and presented with spinal and skin lesions as initial presentation.