Amar A, de Thore J, Vernejoux J M, Elomari E, Jougon J, Elisabeth L, Valyi L, Marry J P
Service de Chirurgie thoracique et générale, Hôpital P. Zobda Quitman, Fort-de-France.
Rev Pneumol Clin. 1992;48(3):120-2.
The author report a case of isolated choriocarcinoma of the lung revealed in a young woman by a tumoral syndrome of the right base with haematoma. The diagnosis of isolated pulmonary choriocarcinoma was based on the lack of previous gynaecological history and tumour, on the singleness of the lung tumour at CT, and on the high initial beta-CGH level (3,300 ng/ml) in the absence of pregnancy. Surgical resection confirmed the diagnosis and lowered the beta-CGH level to 7 ng/ml. The various aetiopathogenic theories put forward and their relations with the prognosis disparity found in the literature are reviewed. The authors compare the prognosis of isolated pulmonary choriocarcinoma in a non-nulliparous woman to that of placental choriocarcinoma.
作者报告了一例年轻女性因右肺底部肿瘤综合征伴血肿而发现的孤立性肺绒毛膜癌病例。孤立性肺绒毛膜癌的诊断基于既往无妇科病史和肿瘤，CT显示肺部肿瘤为单发，以及在未怀孕情况下初始β - CGH水平较高（3300 ng/ml）。手术切除证实了诊断，并将β - CGH水平降至7 ng/ml。本文回顾了文献中提出的各种病因学理论及其与预后差异的关系。作者比较了未生育女性孤立性肺绒毛膜癌与胎盘绒毛膜癌的预后。
