A rare entity mimicking hydatid cyst: Primary pulmonary choriocarcinoma
Eurasian Journal of Pulmonology, cilt.27, sa.3, ss.189-192, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 27 Sayı: 3
- Basım Tarihi: 2025
- Doi Numarası: 10.14744/ejp.2025.83730
- Dergi Adı: Eurasian Journal of Pulmonology
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.189-192
- Anahtar Kelimeler: Hydatid cyst, lung, primary pulmonary choriocarcinoma, surgery
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Primary pulmonary choriocarcinoma is a very rare tumor with a poor prognosis. Due to its nonspecific clinical presentation and radiological similarities to infections and other malignancies, it is often misdiagnosed or diagnosed late. Furthermore, there is no standardized treatment protocol. We present the case of a 40-year-old male with a history of tuberculosis who was admitted with hemoptysis and dyspnea. Imaging revealed a large cavitary mass in the right lung, along with nodular and cystic lesions. The initial diagnosis suggested a hydatid cyst; however, further evaluation, including pathological and immunohistochemical analysis of the resected tissue, ultimately identified the cystic lesion as choriocarcinoma. This diagnosis was confirmed by elevated levels of β-human chorionic gonadotropin in the postoperative period. Despite advances in imaging and serologic testing, PPC is frequently misdiagnosed, highlighting the need for a high index of suspicion. Early recognition and appropriate management are essential to improve outcomes in this aggressive tumor.