A Case of metastatic choriocarcinoma diagnosed at 34th week of pregnancy.
- Author:
Chi Hun SONG
;
Su Mi JUNG
;
Won Gyu YANG
;
Jong Ho PARK
;
Won Il PARK
;
Jung Whan SHIN
;
Jong Eun JOO
- Publication Type:Case Report
- Keywords:
Metastatic Choriocarcinoma;
Normal pregnancy
- MeSH:
Choriocarcinoma*;
Drug Therapy, Combination;
Dyspnea;
Female;
Follow-Up Studies;
Humans;
Neoplasm Metastasis;
Placenta;
Pregnancy;
Pregnancy*;
Sputum
- From:Korean Journal of Obstetrics and Gynecology
1999;42(1):198-202
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Choriocarcinoma associated with a normal pregnancy is rare. Especially, choriocarcinoma coexistent with a viable pregnancy is even rarer and commonly presents with widespread metastatic disease. We experienced a patient at 34th week of pregnancy with dyspnea and sputum production due to pulmonary metastasis of choriocarcinoma. The serum B-hCG level was extremely elevated and the placenta had multifocal choriocarcinoma. After vaginal delivery, the patient was successfully treated with combination chemotherapy (EMA-CO). The patient is receiving follow up with monthly measurement of hCG values. We report one case of metastatic choriocarcinoma with viable pregnancy with review of literature.