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  • Title: Primary retroperitoneal choriocarcinoma with pulmonary metastases in an elderly man.
    Author: Raina V, Dunlop DJ, Soukop M.
    Journal: Scott Med J; 1990 Aug; 35(4):116. PubMed ID: 2237390.
    Abstract:
    We describe a 56-year old male smoker who presented with bilateral gynaecomastia and a large shadow in the upper zone of the right lung. Lobectomy revealed a haemorrhagic tumour at the apex of the right upper lobe. Histology revealed pure choriocarcinoma. Further investigations revealed normal testes and a retroperitoneal mass. Apart from histology, the other poor prognostic factors in this patient were the extragonadal site, gynaecomastia and age. Complete remission was achieved with an aggressive 5-day chemotherapy regime. Primary retroperitoneal choriocarcinoma is extremely rare and is predominantly seen in the age group between 20-30 years.
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