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Pulmonary Metastasis in Infantile Choriocarcinoma: Successful Outcome
Ibrahim Kartal1, Ayhan Dagdemir2, Murat Elli2
1Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Ondokuz Mayis University Medical Faculty, Samsun, Turkey. Correspondence to: Dr Ibrahim Kartal, Division of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Ondokuz Mayis University Medical Faculty, Samsun, Turkey. ibrahim_kartal28@hotmail.com.
Background:
Infantile choriocarcinoma is usually fatal without appropriate treatment.
Case Characteristics:
A 3-month-old boy who presented with respiratory distress, hepatomegaly, amemia and bilateral nodular lesions on chest X-ray.
Observation:
Fine-needle liver aspiration revealed necrotic tumour cells. The serum b-hCG level was very high (2057 mIU/L), supporting a diagnosis of infantile choriocarcinoma of the liver. Surgical resection after cisplatin-based multiagent chemotherapy afforded successful remission.
Message:
Early treatment of infantile choriocarcinoma can yield a successful outcome.
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