Treatment of chorioncarcinomа with multiple lung metastases (сase report)

Abstract

Trophoblastic tumors represent a rare pathology and are characterized by a high degree of malignancy, whose rapid and distant metastases commonly affect the lungs. The main method of diagnosis include ultrasound, computed tomography and magnetic resonance imaging, as well as detection of HCG level in serum. The presented clinical case demonstrates the difficulty of diagnostics in the case of the trophoblastic disease with multiple lung metastases. Тhe patient underwent removal of the uterus and fallopian tubes. Perioperationally the uterus was asymmetric, extended in size and deformed to the right tubal angle due to a 3 cm tumor adhering to the uterine wall up to the serous tunic. The postoperational diagnosis was the trophoblastic tumor (third-stage chorioncarcinomа) T1M1a with multiple metastases to the lungs. Еxperience can be useful for the physicians working with oncological patients.