CASE 405: MATERNAL and INFATILE CHORIOCARCINOMA, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Baby 01month-old with huge abdomen and having an abdominal wall bleeding ulcer. In hospital ND No2 this case was suspected bleeding metastasis of abdominal wall from liver tumor and thrombocytopenia.

In MEDIC,  ultrasound detected many liver nodules which was thought liver metastasis or diffuse primary liver tumors. AFP values in 2 times decreased in week after week. Meanwhile beta HCG raised over 200,000 UI. TOCE was done by French doctor for hemostasis for baby.

At that time her 41 yo mother  presented cough and chest pain with normal chest X-rays film, but chest CT and MRI revealed lung metastasis.

Blood beta HCG= 39,132 UI and urine beta HGC=40,000UI.

AFP= 2.5 UI, CEA 125= 20.3, CYFRA=7.57

Ultrasound of uterus and anexal detected no tumor.

CONCLUSION: Postpartum choriocarcinoma in infant and mother.

Update of case  405: Today, Feb 15, the baby came back to ND 2 hospital for continuing of chemotherapy; baby got weight well while the mother remains well also in Tu Du hospital post hysterectomy. 

It is the first case of maternal fetal choriocarcinoma published on internet from Vietnam that we taken part in helping baby and mother getting more healthy.
Reference:

 From Yale uni.