신 및 뇌전이 융모상피암의 1례
A Case of Metastatic CHoriocareinoma to Kidney and Brain
최석규, 임광식,
소속 상세정보
최석규 ( )
부산대학교
임광식 ( )
부산대학교
KMID : 0358319930340010184
Abstract
Uterine choriocarcinoma metastatic to kidney and brain is rare. We experienced a 55-year-old woman with complaints of right flank pain and gross hematuria. On admission urine HCG was positive and serum HCG was elevated to 42,250 mIU/ml.
Intravenous
pyelography revealed delayed visualization of the right kidney. Ultrasonography an computed tomography of the abdomen showed the irregular. multiloculated. mixed density lesion in the posterolateral posterolateral parenchyme and a subcapsular
hematoma
of the right kidney. Three days after admission, the patient suffered a seizure. Computed tomography of brain revealed the mass which was the same density as the right kidney in the midbrain and medial occipital lobe of cerebrum. Cerebrospinal
HCG
was
also elevated. Under the impression of choriocarcinoma metastatic to kidney and brain, chemotherapy (EMACO : etoposide, methotrexate, actinomycin D, cyclophosphamide and oncovin) was started.
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