Choriocarcinoma of ovary with cerebral and pulmonary metastases

Case contributed by Dr Prashant Mudgal

Presentation

Disorientation, drowsiness since 3 days. Patient was delivered 6 months back and is having lactational amenorrhea. On ultrasonography mass lesion in right ovary was discovered and her serum beta hcg was above 100000 IU.

Patient Data

Age: 25 year
Gender: Female

On ultrasonography there is a well defined solid mass lesion is seen in the right ovary. The lesion is highly vascular.

There are multiple rounded large enhancing calcified supratentorial mass lesions are seen with surrounding edema. Imaging features are suggestive of metastatic choriocarcinoma.

There is a large lobulated soft tissue mass is seen in the lateral basal segment of right lower lobe. Imaging features are suggestive of metastatic choriocarcinoma

Case Discussion

Choriocarcinoma is highly malignant tumour and known to cause early metastasis to brain and lung.The tumour is highly chemosensitive so that early diagnosis and treatment is the key to prevent complications.

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Case Information

rID: 25983
Case created: 20th Nov 2013
Last edited: 4th Oct 2016
Tag: pm
Inclusion in quiz mode: Included

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