Acta Medica Medianae
Vol. 49, No 4, December, 2010
UDK 61
ISSN 0365-4478(Printed version)
ISSN 1821-2794(Online)
 

Correspondence to:

Biljana Lazović

Milutina Milankovica 122

11070 Beograd

E-mail: lazovic.biljana@gmail.com

Case report
UDC:  616.24-008.8:616-006.6

Primary pulmonary choriocarcinoma – case report

Biljana Lazović¹ i Vera Milenković²

 University Hospital Zemun, Serbia¹

Faculty of Medicine, Institute of OB/Gyn, Clinical Center of Serbia, Belgrade, Serbia ²

Literature has described only twenty-two cases of primary pulmonary chorio-carcinoma. Unlike gestational choriocarcinoma which responds well to chemotherapy and has good prognosis, even in cases when detected later, pulmonary choriocarcinoma leads rapidly to fatal outcome. The reason is unknown. This paper presents a case of thirty-four-old young woman with clinical presentation of cough, expectoration, occasionally with hemoptisis, pleural pain, lack of breath and fever, with laboratory findings of pleural effusion on the left, which was treated as a case of tuberculosis for three months. Gynecological finding was regular. Progressive, rapid deterioration of general condition, degree of dispnea, hemoptisis episode led to respiratory failure before having appied the appropriate therapy. In cases of  haemoptisis, one should think about this rare malignant entity and check the level of human chorionic gonadotropin in women. Acta Medica Medianae 2010;49(4):43-44.

Key words: gestational trophoblastic disease, haemoptisis