원발성 난관융모상피암의 발생은 매우 희귀하지만 간과해서는 안되는 질환으로 본병원 산부인과에서 우측자궁부속기 절제술후 4차에 걸쳐 실시한 복합항암요법으로써 혈중 HCG B-submit의 추적검사를 이용하여 완전경쾌를 확인한 1예를 치험하였기에 이의 증례 및 간단한 문헌고찰과 함께 보고한다.

An extremely rare case of primary tubal choriocarcinoma, that was arised on the right adnexal tube of nulliparous women, and was confirmed endocrinologically and pathologically, is presented here with a brief review of its related literatures, and its characteristics are as followings. 1.The incidence is very extremely low but more frequent than primary tubal mole. 2.Its histo-pathogenenetic origin is not evident clearly as yet. 3.Its clinical manifestation are pretean so that diagnosis was mistakened frequently as other pelvic hemorrhagic disease. 4.The end result of clinical management; Primary resection, followed by a aggressive present method of chemotherapy & supportive managements, is excellent.(remission rate 85~90% in the case of high risk group of distant metastasis)