TITLE:
Macroscopic hematuria as a presentation of gestational trophoblastic neoplasia in an adolescent woman
AUTHORS:
Irene Ruengkhachorn, Nisarat Phithakwatchara, Usanee Chatchotikawong
KEYWORDS:
Gestational Trophoblastic Neoplasia; Choriocarcinoma; Metastasis; Renal; Hematuria
JOURNAL NAME:
Health,
Vol.5 No.7D,
July
10,
2013
ABSTRACT: Gestational
trophoblastic neoplasia (GTN) is a hemorrhagic malignancy with highly rapid potential metastasis via hematogenous spreading. Renal metastasis is of infrequent
occurrence. Among previous case reports of renal metastasis in GTN, this is
the youngest woman presenting a large renal lesion concurrent with pulmonary
and brain metastases. Disease remission had been achieved by treatment with
combined chemotherapy and whole brain radiation,
although acute myeloblastic leukemia (AML) developed later.