Pulmonary metastases revealing choriocarcinoma.
Tunis Med
; 88(1): 49-51, 2010 Jan.
Article
en En
| MEDLINE
| ID: mdl-20415215
ABSTRACT
BACKGROUND:
Uterin choriocarcinoma is a trophoblastic tumour characterised by high metastasis potential. Pleuropulmonary metastasis can reveal rarely the neoplasm.AIM:
Repport a new case. CASE REPORT We report the case of a 31-years-old woman, with no pathological antecedent, admitted in our department for thoracic pain and haemoptysis occurring two months after delivery of a did in child-birth. Chest X ray and thoracic CT scan showed several bilateral opacities. A diagnosis of metastatic choriocarcinoma was confirmed by plasmatic level of beta human chorionic gonadotrophin (beta HCG) superior to 4000 UI/ml. Gynaecological exam revealed latero-uterine mass. Abdomino-pelvien ultra sound and CT scan showed tissular latero uterine and hepatic masses. Brain CT scan had been normal. Patient died after 3 cures of chemotherapy because of acute respiratory failure caused by massive pulmonary embolism.CONCLUSION:
Diagnosis of choriocarcinoma must be evocated in front of several pulmonary opacities occurring in genital activity women and necessities the dosage of level of BHCG.
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Base de datos:
MEDLINE
Asunto principal:
Neoplasias Uterinas
/
Coriocarcinoma
/
Biomarcadores de Tumor
/
Gonadotropina Coriónica Humana de Subunidad beta
/
Neoplasias Pulmonares
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Tunis Med
Año:
2010
Tipo del documento:
Article