Voskuil J H, Slee P H, Wagenaar S S
Department of Internal Medicine, St. Antonius Ziekenhuis, Nieuwegein, Netherlands.
Neth J Med. 1995 May;46(5):232-5. doi: 10.1016/0300-2977(94)00090-5.
A 36-year-old male patient is described who presented with gynaecomastia, pulmonary nodules and a retroperitoneal mass in combination with a markedly elevated HCG level. A diagnosis of "choriocarcinoma syndrome" was made. Despite a clear response from the tumour to chemotherapy the patient died, at least partially due to delay in treatment. Prompt treatment even without cytological or histological proof is therefore stressed.
本文描述了一名36岁男性患者，其出现了男性乳房发育、肺结节和腹膜后肿块，并伴有明显升高的人绒毛膜促性腺激素（HCG）水平。诊断为“绒毛膜癌综合征”。尽管肿瘤对化疗有明显反应，但患者仍死亡，至少部分原因是治疗延迟。因此强调即使没有细胞学或组织学证据也应及时治疗。
