Macroscopic hematuria as a presentation of gestational trophoblastic neoplasia in an adolescent woman

Irene Ruengkhachorn, Nisarat Phithakwatchara, Usanee Chatchotikawong

Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Gynecologic Oncology Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Maternal Fetal Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

DOI: 10.4236/health.2013.57A4005                

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.

Keywords

Gestational Trophoblastic Neoplasia; Choriocarcinoma; Metastasis; Renal; Hematuria

Conflicts of Interest

The authors declare no conflicts of interest.

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