Successful surgical treatment of recurrent choriocarcinoma with laparoscopic resection of intraperitoneal pelvic tumor

Huang, Kuan-Gen; Abdullah, Nor Anita; Adlan, Aizura-Syafinaz; Ueng, Shir-Hwa; Ho, Tsung-Ying; Lee, Chyi‐Long

doi:10.1016/j.tjog.2013.04.027

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Menegaz et al reported a patient who showed neurological improvement after EMA/CO chemotherapy and radiotherapy . Although there has been a case of an isolated focal recurrent choriocarcinoma that was successfully treated with laparoscopic surgical resection, there was another case where a local recurrence of the original lesion metastasized to, and rapidly developed in, the lumbar spine, post‐resection . In the present case, we elected to perform a laminectomy prior to chemotherapy to improve our patient's leg paralysis.…”

Section: Discussionmentioning

confidence: 76%

Gestational choriocarcinoma: Rare spinal metastasis during a viable pregnancy

Ishiguro

Serikawa

Yahata

et al. 2016

J of Obstet and Gynaecol

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Gestational choriocarcinoma metastasizing to the bones, especially to the spine, is extremely rare. In addition, there are few reports of choriocarcinoma during a viable pregnancy. We report a case of gestational choriocarcinoma that metastasized to the lumbar spine during a viable pregnancy in a 41-year-old woman with a history of a missed abortion. A heterogeneous cervical mass was detected at gestational week 16. Subsequently, a metastatic lesion appeared during the pregnancy, and fetal demise in utero occurred. Pathological examination revealed that the cervical tumor and metastatic spinal tumor were choriocarcinoma. The patient's condition deteriorated rapidly and we were unable to save her life, despite multidrug chemotherapy. Surgical tumor resection and pregnancy might involve a substantial risk of choriocarcinoma metastasis. It is important to obtain an early diagnosis for this life-threatening disease in order to facilitate appropriate treatment, despite pregnancy.

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Section: Discussionmentioning

confidence: 76%

Gestational choriocarcinoma: Rare spinal metastasis during a viable pregnancy

Ishiguro

Serikawa

Yahata

et al. 2016

J of Obstet and Gynaecol

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“…However, a subset of cases has demonstrated low 18 F-FDG accumulation in metastatic nodules from choriocarcinoma, potentially influenced by hemorrhagic and/or necrotic components affecting 18 F-FDG avidity ( 83 ). The reported SUVmax range for choriocarcinoma spans from 2.0 to 27.5, encompassing various studies ( 13 , 16 , 20 , 21 , 23 , 26 , 28 , 30 , 31 , 33 , 36 , 45 – 47 , 49 , 51 , 53 , 54 , 60 – 62 , 64 , 83 ).…”

Section: Discussionmentioning

confidence: 99%

A poor prognostic male choriocarcinoma with multiple systemic metastases: a case report and the literature review

Huang,

Zheng,

Bao

et al. 2024

Front. Med.

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BackgroundNon-gestational choriocarcinoma, also known as primary choriocarcinoma, is extremely rare in men, manifesting with specific signs such as breast feminization, testicular atrophy, and loss of libido. The presentation typically includes elevated serum β-hCG levels, widespread metastatic disease, and a rapid progression of the condition.Case reportWe present a rare case of a 41-year-old man diagnosed with choriocarcinoma, exhibiting a unique combination of multiple metastases, including lung, brain, bone, and retroperitoneal lymph node metastases, as confirmed by 18F-FDG PET/CT imaging. The patient was treated with aggressive chemotherapy and pembrolizumab, and the prognosis remained poor. The patient’s overall survival was a mere 5 months following diagnosis.ConclusionNon-gestational choriocarcinoma represents a rare entity in clinical practice and should be considered in young men presenting with gynaecomastia and elevated β-hCG levels alongside normal gonads. Thus, we advocate for a more comprehensive inquiry into medical history and a systematic examination. The 18F-FDG PET/CT examination not only visually delineates the lesion’s location and extent but also serves as a cornerstone for clinical tumor staging, providing valuable support for treatment monitoring and subsequent follow-up.

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Successful surgical treatment of recurrent choriocarcinoma with laparoscopic resection of intraperitoneal pelvic tumor

Cited by 2 publications

References 10 publications

Gestational choriocarcinoma: Rare spinal metastasis during a viable pregnancy

Gestational choriocarcinoma: Rare spinal metastasis during a viable pregnancy

A poor prognostic male choriocarcinoma with multiple systemic metastases: a case report and the literature review

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