title: Metastatic choriocarcinoma of the nasal mucosa.
abstract: A patient with a chief complaint of epestaxis coughed persistently during her visit to the emergency room. Questioning revealed she also had vaginal bleeding and occasional bloody sputum. Gynecological examination, a Pap smear, and pathological evaluation showed choriocarinoma. A chest X ray disclosed metastatic pulmonary choriocarcinoma. An ENT examination was carried out and showed a suspected area in the nasal mucosa which was bleeding. A Pap smear and biopsy taken from the suspected area also revealed choriocarcinoma.
mesh_terms: D000328:Adult; D002822:Choriocarcinoma / Q000473:pathology*; D003581:Cytodiagnosis; D005260:Female; D006470:Hemorrhage; D006801:Humans; D009297:Nasal Mucosa; D009362:Neoplasm Metastasis; D009669:Nose Neoplasms / Q000473:pathology*; D065006:Papanicolaou Test; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000473:pathology; D014626:Vaginal Smears