title: Pitfalls in the diagnosis of gestational choriocarcinoma. A case report.
abstract: Gestational choriocarcinoma frequently presents diagnostic difficulties as the first symptoms are often due to distant metastases, particularly to the lung. A case of choriocarcinoma is described; the main features were thyrotoxicosis and a solitary metastasis in the lung arising from a clinically normal uterus. It is emphasized that clinical evaluation of the uterus is unreliable in the diagnosis of choriocarcinoma, a disease which must always be suspected in females with atypical thyrotoxicosis.
mesh_terms: D000328:Adult; D002822:Choriocarcinoma / Q000175:diagnosis* / Q000556:secondary; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006980:Hyperthyroidism / Q000175:diagnosis; D008175:Lung Neoplasms / Q000556:secondary; D011247:Pregnancy; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000175:diagnosis*