Abstract
Gestational choriocarcinomas are highly malignant tumors with elevated serum human chorionic gonadotropin (hCG) levels. We report an extremely rare case of a 27-year-old woman who presented 4 months after normal delivery, with pulmonary, renal and intracardiac metastases of a choriocarcinoma. No primary uterine tumor was found. She was surgically treated for the renal and cardiac metastases as well as with cisplatin-etoposide chemotherapy. No recurrence has been observed 16 years after initial diagnosis, and the patient was able to have a second child. This case report shows that appropriate treatment of metastatic gestational choriocarcinoma can cure the patient without compromising her fertility.
MeSH terms
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Adult
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Choriocarcinoma / mortality*
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Choriocarcinoma / pathology
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Choriocarcinoma / therapy
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Combined Modality Therapy
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Female
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Gestational Trophoblastic Disease / mortality*
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Gestational Trophoblastic Disease / pathology
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Gestational Trophoblastic Disease / therapy
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Heart Neoplasms / mortality*
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Heart Neoplasms / secondary
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Heart Neoplasms / therapy
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Humans
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Kidney Neoplasms / mortality*
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Kidney Neoplasms / secondary
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Kidney Neoplasms / therapy
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Lung Neoplasms / mortality*
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Lung Neoplasms / secondary
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Lung Neoplasms / therapy
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Pregnancy
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Pregnancy Complications, Neoplastic / mortality*
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Pregnancy Complications, Neoplastic / pathology
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Pregnancy Complications, Neoplastic / therapy
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Prognosis
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Rare Diseases / mortality*
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Rare Diseases / pathology
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Rare Diseases / therapy
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Survival Rate