Saturday, 11 March 2023

CASE 671: BetaHCG SECRETION by a PULMONARY CARCINOMA, Dr PHAN THANH HẢI, Dr NEANG SI PHATS, Dr HUỲNH TRÁC LUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A  42 year-old female patient,  TPAL 1001 with critical menorrhegia for one month  and weight loss and anemia. HTA:100/70 mmHg, PA:110 bpm. W = 40 kg H: 155mm, BMI: 16.6.

TVS ultrasound detects only uterine fibroma, but beta HCG highly rising= 69,474 mlU/mL.



Total body MRI detects a 98 mm right lung tumor and a 25 mm uterine fibroma.


Chest X-Ray film represents tumor of the right lung which is thought a beta HCG secretion tumor.



Lung biopsy result is a non small cell adenocarcinoma, stage IIIc, invasive at lung.






As the poor status of the patient, the current clinical management is blood transfusion to improve her life in waiting for a reexamination in a cancer hospital.

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