Anterior Mediastinal Mass as the Initial Presentation of a Choriocarcinoma

doi:10.15344/2456-446X/2016/108

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International Journal of Radiology & Medical Imaging Volume 2 (2016), Article ID 2:IJRMI-108, 2 pages
https://doi.org/10.15344/2456-446X/2016/108

Case Report

Anterior Mediastinal Mass as the Initial Presentation of a Choriocarcinoma

Chee Hwee Lee¹ and Wing P. Chan^2*

¹Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taiwan
²Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University, Taiwan

Corresponding Author Details: Dr. Wing P. Chan, Department of Radiology, Wan Fang Hospital, Taipei Medical University, 111 Hsing-Long Road, Section 3, Taipei 116, Taiwan, Tel: +886-2-2930-7930; E-mail: wp.chan@msa.hinet.net

Received: 03 October 2015; Accepted: 01 February 2016; Published: 03 February 2016

Citation: Lee CH, Chan WP (2016) Anterior Mediastinal Mass as the Initial Presentation of a Choriocarcinoma. Int J Radiol Med Imag 2: 108. doi: https://doi.org/10.15344/2456-446X/2016/108

Copyright: © 2016 Lee et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

A 43-year-old man presented with shortness of breath for 10 days and loss body weight in the past month. Chest palpation showed gynecomastia. Computed tomography scan of the chest showed a 14- cm necrotic mass at anterior mediastinum with extension to left upper lung and multiple nodules in both lungs. The beta human chorionic gonadotropin (β-HCG) level was elevated. The patient received ultrasound-guided biopsy of the anterior mediastinal mass. Histology revealed choriocarcinoma with trophoblastic differentiation and marked necrosis.

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