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Radiographically occult pulmonary metastases from gestational trophoblastic neoplasia

Tina Hong1, Edward Hills1, Maria Del Pilar Aguinaga1

  • 1Department of Obstetrics and Gynecology, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208, USA.

Radiology Case Reports
|May 12, 2017
PubMed

Gestational trophoblastic neoplasia (GTN) is a spectrum of diseases including partial and complete hydatidiform moles, placental site trophoblastic tumor, and choriocarcinoma. One of the most important considerations is recognition of the possibility of GTN after molar pregnancy or even normal pregnancy. It is common practice to use chest x-ray for the detection of pulmonary metastasis. Computed tomography imaging of the lungs is ordered if lung lesions are noted on chest x-rays. However, understanding the limitations of chest x-rays is important for detecting smaller pulmonary lesions. We present a patient with GTN and pulmonary metastasis after having received 2 negative chest x-rays.

Keywords:
Gestational trophoblastic neoplasiaMolar pregnancyPulmonary metastasis

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