Choriocarcinoma in the shoulder

Case contributed by Dr Andrew Lawson

Presentation

Shoulder pain, no real trauma history.

Patient Data

Age: 35
Gender: Male
X-ray

The shoulder joint is normal.

Multiple nodules are noted in the visualised right hemithorax.

MRI

There is a large heterogeneously enhancing mass lesion seen invading the infraspinatus, supraspinatus and subscapularis muscles.

There is marrow replacement of the glenoid with sparing of the supero-lateral tip of the glenoid.  The rest of the scapula appears diffusely involved. The humerus appear within normal limits. There is no discrete involvement of the clavicle.

The suprascapular nerve appears surrounded by a thin rim of fat and does not appear infiltrated.  There is no shoulder joint effusion.

Innumerable enhancing mass lesions are seen within the lungs.

 

 

Ultrasound

Large mass in the right testicle.

Case Discussion

The patient did not report a testicular mass. The right shoulder mass underwent CT guided biopsy which revealed choriocarcinoma. Examination of the scrotum was subsequently performed.

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Case information

rID: 28603
Case created: 2nd Apr 2014
Last edited: 2nd Oct 2015
Inclusion in quiz mode: Included

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