Du Yuancheng, Zhang Xueping, Sun Shengyang, Sun Meihong, Yang Dongyu, Yu Xinyuan, Li Kehao, Ma Jie, Li Yongxiang, Ge Jinming, Liu Changqing, Qiao Liang
Department of Urology, Weifang Medical University, Weifang, China.
Department of Urology, Weifang People's Hospital, Weifang, China.
Front Oncol. 2022 Apr 14;12:829190. doi: 10.3389/fonc.2022.829190. eCollection 2022.
Choriocarcinoma is a cancer that usually occurs in the uterus during pregnancy. Although choriocarcinoma with renal metastasis and spontaneous renal hemorrhage is very rare, it can occur. We describe a rare case of metastatic choriocarcinoma, wherein the patient presented with acute abdominal pain due to a subcapsular hematoma secondary to a bleeding renal metastasis. We performed a laparoscopic nephron sparing surgery to remove the tumor and control the bleeding. A retrospective analysis revealed that metastasis was detected on F-fluorodeoxyglucose PET/CT, but not on CT alone. To our knowledge, a case of choriocarcinoma with such symptoms and treatment has not been described in recent literature. Our case illustrates that acute bleeding from a renal metastasis can be effectively managed by laparoscopic nephron sparing surgery. It also demonstrates the advantage F-FDG PET/CT may have in the evaluation of metastatic choriocarcinoma.
绒毛膜癌是一种通常在孕期发生于子宫的癌症。尽管伴有肾转移和自发性肾出血的绒毛膜癌非常罕见，但仍有可能发生。我们描述了一例罕见的转移性绒毛膜癌病例，该患者因肾转移出血继发包膜下血肿而出现急性腹痛。我们进行了腹腔镜保留肾单位手术以切除肿瘤并控制出血。回顾性分析显示，F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（F-fluorodeoxyglucose PET/CT）检测到了转移，但仅计算机断层扫描（CT）未检测到。据我们所知，近期文献中尚未描述过具有此类症状和治疗方法的绒毛膜癌病例。我们的病例表明，腹腔镜保留肾单位手术可以有效处理肾转移引起的急性出血。它还展示了F-FDG PET/CT在评估转移性绒毛膜癌方面可能具有的优势。
