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Title:Primary pulmonary choricarcinoma
Authors:ID Snoj, Žiga (Author)
ID Kocijančič, Igor (Author)
ID Škof, Erik (Author)
Files:.pdf PDF - Presentation file, download (552,36 KB)
MD5: 279F0F38341F9FDA74B3ADB0B8A746A3
 
Language:English
Typology:1.02 - Review Article
Organization:Logo OI - Institute of Oncology
Abstract:The aim of the study was to establish whether there are different clinical entities of primary pulmonary choriocarcinoma (PPC) that deserve different diagnostic approach and the most optimal treatment. Patients and methods. A systematic review with PubMed search was conducted to identify studies that reported cases of PPC. The eligibility criteria were histological diagnosis of pulmonary choriocarcinoma and thorough examination of the reproductive organs to exclude potential primary choriocarcinoma in the gonads. Furthermore, to illustrate the review we additionally present a patient referred at our institution. Results. 55 cases (17 men) were included in the review with a median age of 34 years. Women with the history of gestational event showed better survival outcome than women without the history of gestational event. Patients treated with combined modality treatment (surgery and chemotherapy) survived longer than the patients without combined modality treatment. Furthermore, multivariate analysis of prognostic factors showed that the combined modality treatment had independent prognostic significance. Size of the tumour showed significant prognostic influence in univariate and multivariate analysis. Conclusions. PPC is an extreme rarity with variable clinical characteristics and outcome. It is important to capture and treat patients in the early stages of the disease. Women with the history of gestational event may show better survival, therefore genetic examination could help us to predict patient%s prognosis. Surgery followed by adjuvant chemotherapy appears to represent the best treatment for PPC.
Keywords:choriocarcinoma, gestational event, pulmonary tumor, primary horiokarcinom
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2017
Publisher:Association of Radiology and Oncology
Year of publishing:2017
Number of pages:str. 1-7, I
Numbering:Vol. 51, no. 1
Source:Ljubljana
PID:20.500.12556/DiRROS-18906 New window
UDC:616-006
ISSN on article:1318-2099
DOI:10.1515/raon-2016-0038 New window
COBISS.SI-ID:2345595 New window
Copyright:by Authors
Publication date in DiRROS:10.05.2024
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Downloads:189
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Keywords:horiokarcinom, nosečnost, rak pljuč, primarni horiokarcinom


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