Pulmonary metastases revealing choriocarcinoma.
BACKGROUND
Uterin choriocarcinoma is a trophoblastic tumour characterised by high metastasis potential. Pleuropulmonary metastasis can reveal rarely the neoplasm.


OBJECTIVE
Repport a new case.


METHODS
We report the case of a 31-years-old woman, with no pathological antecedent, admitted in our department for thoracic pain and haemoptysis occurring two months after delivery of a did in child-birth. Chest X ray and thoracic CT scan showed several bilateral opacities. A diagnosis of metastatic choriocarcinoma was confirmed by plasmatic level of beta human chorionic gonadotrophin (beta HCG) superior to 4000 UI/ml. Gynaecological exam revealed latero-uterine mass. Abdomino-pelvien ultra sound and CT scan showed tissular latero uterine and hepatic masses. Brain CT scan had been normal. Patient died after 3 cures of chemotherapy because of acute respiratory failure caused by massive pulmonary embolism.


CONCLUSIONS
Diagnosis of choriocarcinoma must be evocated in front of several pulmonary opacities occurring in genital activity women and necessities the dosage of level of BHCG.
El Fekih
Leila
L
Service de pneumologie Ibn Nafiss, Hôpital Abderrhmane Mami de l'Ariana.
Hassene
Hela
H
Fenniche
Soraya
S
Ben Abdelghaffar
Hajer
H
Belhabib
Dalenda
D
Megdiche
Mohamed Lamine
ML
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects / Q000627:therapeutic use; D014408:Biomarkers, Tumor / Q000097:blood*; D002822:Choriocarcinoma / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary*; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary*; D049590:Postpartum Period; D011247:Pregnancy; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*
D014408:Biomarkers, Tumor; D018997:Chorionic Gonadotropin, beta Subunit, Human