| CORRESPONDENCE |
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| Year : 2018 | Volume
: 14
| Issue : 10 | Page : 803-805 |
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Successful management of a patient with radiological presentation of choriocarcinoma syndrome before induction chemotherapy
Takashi Yoshida, Yutaro Hayami, Kenji Yoshida, Hidefumi Kinoshita, Tadashi Matsuda
Department of Urology and Andrology, Graduate School of Medicine, Kansai Medical University, Osaka, Japan
Correspondence Address:
Hidefumi Kinoshita
Department of Urology and Andrology, Graduate School of Medicine, Kansai Medical University, Osaka
Japan
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0973-1482.175433
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Choriocarcinoma syndrome is a life-threatening lysis syndrome caused by blood vessel rupture and subsequent tumor bleeding. We describe a case of pretreatment choriocarcinoma syndrome that developed in a 27-year-old man. He underwent a high orchiectomy at a local hospital and was diagnosed with metastatic testicular tumor given the high serum human chorionic gonadotropin levels (943,601 mIU/mL). Thus, he was referred to our institution. Although he had bulky lung metastases and alveolar bleeding, we were able to administer full-dose chemotherapy with etoposide and cisplatin. On day 3 of chemotherapy, he presented with severe hypoxia and worsening of alveolar bleeding. Thus, he underwent tracheal intubation at the Intensive Care Unit. Full-dose chemotherapy was continued, and the patient was extubated upon improvement. He is currently alive and continuing treatment at another hospital.
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