Metastatic Choriocarcinoma Associated with Intracranial Hemorrhage: Case Report

ABSTRACT

The authors report 2 cases of metastatic choriocarcinoma associated with intracranial hemorrhage. One of them had intracranial hemorrhage on the right frontal lobe and the other one developed intracranial hemorrhage and enhancing mass on the parietal lobe revealed by admission brain CT. They had rebled intracranially 2 and 3 times, respectively. Even though the patients had received intracranial decompressive operations, they eventually died of intracranial rebleeding or hemothorax, respectively. These tumors generally occur in women of childbearing age and commonly produce signs and symptoms of subarachnoid hemorrhage, intracerebral hemorrhage, or brain tumor. Metastatic choriocarcinoma of the brain is a curable lesion. Cure is geerally achieved by extirpation of the tumor, chemotherapy, and irradiation of the site of the cerebral metastasis. The two cases in this report have ben unsuccessful in their management.