A case of metastatic choriocarcinoma to kidney and brain.
- Author:
Weon Yeol CHO
1
;
Nam Cheol PARK
Author Information
1. Department of Urology, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Choriocarcinoma;
Metastatic;
Kidney;
Brain
- MeSH:
Abdomen;
Brain*;
Cerebrum;
Choriocarcinoma*;
Cyclophosphamide;
Dactinomycin;
Etoposide;
Female;
Flank Pain;
Hematoma;
Hematuria;
Humans;
Kidney*;
Mesencephalon;
Methotrexate;
Middle Aged;
Occipital Lobe;
Pregnancy;
Seizures;
Ultrasonography;
Urography
- From:Korean Journal of Urology
1993;34(1):184-187
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Uterine choriocarcinoma metastatic to kidney and brain is rare. We experienced a 55-year-old woman with complaints of right flank pain and gross hematuria. On admission urine HCG was positive and serum HCG was elevated to 42,250 mIU/ml. Intravenous pyelography revealed delayed visualization of the right kidney. Ultrasonography and computed tomography of the abdomen showed the irregular, multiloculated, mixed density lesion in the posterolateral parenchyme and a subcapsular hematoma of the right kidney. Three days after admission, the patient suffered a seizure. Computed tomography of brain revealed the mass which was the same density as the right kidney in the midbrain and medial occipital lobe of cerebrum. Cerebrospinal HCG was also elevated Under the impression or choriocarcinoma metastatic to kidney and brain, chemotheraphy (EMA- CO : etoposide, methotrexate, actinomycin D, cyclophosphamide and oncovin) was started.
