Pulmonary Metastasis in Infantile Choriocarcinoma: Successful Outcome

Background: Infantile choriocarcinoma is usually fatal without appropriate treatment. Casecharacteristics: A 3-month-old boy who presented with respiratory distress, hepatomegaly,amemia and bilateral nodular lesions on chest X-ray. Observation: Fine-needle liveraspiration revealed necrotic tumour cells. The serum ?-hCG level was very high (2057 mIU/L), supporting a diagnosis of infantile choriocarcinoma of the liver. Surgical resection aftercisplatin-based multiagent chemotherapy afforded successful remission. Message: Earlytreatment of infantile choriocarcinoma can yield a successful outcome.