Choriocarcinoma in the shoulder

Case contributed by Dr Andrew Lawson


Shoulder pain, no real trauma history.

Patient Data

Age: 35 years
Gender: Male

The shoulder joint is normal.

Multiple nodules are noted in the visualized right hemithorax.


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 appears 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.




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. The examination of the scrotum was subsequently performed.

PlayAdd to Share

Case information

rID: 28603
Published: 2nd Apr 2014
Last edited: 1st Dec 2020
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.