A Rare Case of Nongestational Choriocarcinoma with Pulmonary and Hepatic Metastases Presenting as Pulmonary Artery Thromboembolism
- VernacularTitle:Уушгины артерийн бүлэнт бөглөрөл хэлбэрээр илэрсэн уушги болон элэгний үсэрхийлэлтэй жирэмсний бус хорионы карцинома эмнэлзүйн ховор тохиолдол
- Author:
Enkhsaikhan S
1
;
Demberelmaa B
1
;
Munkhbat O
1
;
Byambadorj N
1
;
Amgalandari B
2
;
Javzan-Orlom D
2
Author Information
1. Department of General Intensive Care, Third State Central Hospital
2. Department of Pulmonology, Third State Central Hospital
- Publication Type:Case Reports
- Keywords:
Choriocarcinoma;
Nongestational choriocarcinoma;
Pulmonary artery thromboembolism;
Pulmonary metastasis;
Hepatic metastasis
- From:
Mongolian Journal of Health Sciences
2026;95(5):333-335
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Choriocarcinoma is an aggressive trophoblastic malignancy characterized by rapid progression and a strong tendency for early hematogenous metastasis. It may occur in gestational or nongestational forms. Nongestational choriocarcinoma is extremely rare and is most commonly reported in young women. The tumor frequently metastasizes early to organs such as the lungs, liver, and brain.
Case presentation:We report the case of a 21-year-old woman who presented with dyspnea and hemoptysis and was initially treated for pneumonia. Further evaluation revealed nongestational choriocarcinoma with pulmonary and hepatic metastases.
Diagnosis:Contrast-enhanced computed tomography of the chest initially suggested pulmonary artery thromboembolism; however, the diagnosis was ultimately confirmed by histopathological examination.
Conclusion:The distinctive feature of this case is that the disease presented with clinical and radiological findings mimicking pulmonary artery thromboembolism. This case highlights the importance of considering metastatic choriocarcinoma in young women presenting with unexplained respiratory symptoms, hemoptysis, and atypical pulmonary vascular findings.
- Full text:2026100112572207541Уушгины артерийн бүлэнт бөглөрөл хэлбэрээр илэрсэн.pdf