Bullae-Forming Pulmonary Metastasis from Choriocarcinoma Presenting as Pneumothorax
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 435-438, 2015.
Article
in English
| WPRIM
| ID: wpr-95465
ABSTRACT
Gestational trophoblastic disease (GTD) is a condition of uncertain etiology, choriocarcioma, or placental-site hydatidiform moles, invasive moles, choriocarcinoma, and placental-site trophoblastic tumors. It arises from the abnormal proliferation of trophoblastic tissue and spreads beyond the uterus hematogenously. The early diagnosis of GTD is important to ensure timely and successful management and the preservation of fertility. We report the unusual case of a metastatic choriocarcinoma that formed bullae on the lung surface and presented as recurrent pneumothorax in a 38-year-old woman with elevated beta-human chorionic gonadotropin (hCG) levels. She underwent thoracoscopic wedge resection of the involved lung and four subsequent cycles of consolidation chemotherapy. No other evidence of metastatic disease or recurrent pneumothorax was noted during 22 months of follow-up. GTD should be considered in the differential diagnosis of spontaneous pneumothorax in reproductive-age women with an antecedent pregnancy and abnormal beta-hCG levels.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumothorax
/
Trophoblasts
/
Uterus
/
Choriocarcinoma
/
Follow-Up Studies
/
Trophoblastic Tumor, Placental Site
/
Hydatidiform Mole, Invasive
/
Gestational Trophoblastic Disease
/
Early Diagnosis
/
Diagnosis, Differential
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Screening study
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2015
Type:
Article
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