Choriocarcinoma causing a pulmonary embolus
Theliade, J.E.; Skovby, A.M.L.; Kirk, V.; Parvaiz, I.; Holmvang, L.
Ugeskrift for Laeger 170(5): 353
2008
ISSN/ISBN: 1603-6824 PMID: 18252168 Document Number: 628047
A 32 year-old women experienced dyspnea and thoracic pain that persisted with variable intensity over a course of eight months until acute worsening necessitated admission. A CT scan demonstrated a central pulmonary embolus. Subsequent surgical embolectomy produced a grained substance that was histologically compatible with a choriocarcinoma. Trophoblast tumors are rare, but unspecific symptoms from lungs, liver, kidney or brain warrant control of S-hCG in women, even when pregnancy has not been recognized or menopause has been reached.