Case Report


Metastatic choriocarcinoma of the lung without a primary: A case report

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1 MD, Surgery Resident, Department of Surgery, HCA Florida Brandon Hospital/USF Morsani College of Medicine, Brandon, Florida, USA

2 MD, Pathology Resident, Department of Pathology, HCA Florida Brandon Hospital, Brandon, Florida, USA

3 MD, Surgery Professor, Department of Thoracic Surgery, HCA Florida Brandon Hospital, Florida, USA

Address correspondence to:

Trina Capelli

119 Oakfield Dr., Brandon, FL 33511,

USA

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Article ID: 101471Z01TC2024

doi: 10.5348/101471Z01TC2024CR

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How to cite this article

Capelli T, Farag P, Johnson D, Luu L, Khan F. Metastatic choriocarcinoma of the lung without a primary: A case report. Int J Case Rep Images 2024;15(2):58–61.

ABSTRACT


Delayed presentation of metastatic gestational choriocarcinoma is a very rare phenomenon. We report a case of a 43-year-old female who presented three years after giving birth with a right lung mass and elevated β-human chorionic gonadotropin (HCG) levels. She underwent a right thoracotomy with right lower lobe lobectomy. The final pathology revealed metastatic gestational choriocarcinoma. In these cases, resection is recommended and patients often benefit from adjuvant chemotherapy. The patient was successfully treated with resection and is currently undergoing chemotherapy treatment. A delayed presentation of metastatic gestational choriocarcinoma should be considered as a differential in women presenting with a lung mass and a history of previous pregnancy. Prompt diagnosis and treatment can improve patient outcomes.

Keywords: Choriocarcinoma, Metastatic, Surgery, Thoracic surgery

SUPPORTING INFORMATION


Acknowledgments

Michael G. Flynn, Ph.D., Medical Writer, provided writing and copy-editing assistance on the final version of the manuscript.

Author Contributions

Trina Capelli - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Paul Farag - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Dylan Johnson - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Laura Luu - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Faisal Khan - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Trina Capelli et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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