title: The choriocarcinoma syndrome: an emergency.
abstract: A 36-year-old male patient is described who presented with gynaecomastia, pulmonary nodules and a retroperitoneal mass in combination with a markedly elevated HCG level. A diagnosis of "choriocarcinoma syndrome" was made. Despite a clear response from the tumour to chemotherapy the patient died, at least partially due to delay in treatment. Prompt treatment even without cytological or histological proof is therefore stressed.
authors.affiliation: Department of Internal Medicine, St. Antonius Ziekenhuis, Nieuwegein, Netherlands.
authors.forename: J H
authors.initials: JH
authors.lastname: Voskuil
authors.forename: P H
authors.initials: PH
authors.lastname: Slee
authors.forename: S S
authors.initials: SS
authors.lastname: Wagenaar
mesh_terms: D000328:Adult; D002822:Choriocarcinoma / Q000175:diagnosis / Q000188:drug therapy; D002945:Cisplatin / Q000627:therapeutic use; D004630:Emergencies; D005047:Etoposide / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D009362:Neoplasm Metastasis; D013902:Radiography, Thoracic; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis / Q000188:drug therapy; D013577:Syndrome
chemical_list: D005047:Etoposide; D002945:Cisplatin