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A computed tomographic scan of the chest showing 6.4 × 5.4 × 5.9 cm pulmonary mass in right lower lobe. (B) FDG-PET study showing FDG accumulation in the pulmonary mass in the right lower lobe with no other abnormal accumulation found in whole body including pelvic cavity. (C) CT of the head showing 1 cm intracerebral mass with surrounding oedema.
A computed tomographic scan of the chest showing 6.4 × 5.4 × 5.9 cm pulmonary mass in right lower lobe. (B) FDG-PET study showing FDG accumulation in the pulmonary mass in the right lower lobe with no other abnormal accumulation found in whole body including pelvic cavity. (C) CT of the head showing 1 cm intracerebral mass with surrounding oedema.

Kaplan-Meier survival curves. (A) Survival for all reported cases with curves showing survival for female patients was longer than for male patients (p = 0.004). (B) Survival of all reported cases with survival of men and curves showing survival of female patients with the history of gestational event was longer than for female patients without the history of gestational event (p = 0.040).
Kaplan-Meier survival curves. (A) Survival for all reported cases with curves showing survival for female patients was longer than for male patients (p = 0.004). (B) Survival of all reported cases with survival of men and curves showing survival of female patients with the history of gestational event was longer than for female patients without the history of gestational event (p = 0.040).

Possible prognostic factors

CharacteristicnMST (months)1-year survival (%)2-year survival (%)p-value
GenderFemale31-77.377.3
Male16431.320.80.004
Age< 4029-75.958.4
4018 433.333.30.009
Size (cm)< 520-80.080.0
≥ 516 325.00.00.000
MetastasisYes21442.90.95
No26-84.684.60.000
SmokingYes11 40.00.0
No36-69.469.40.001
Female – gestational historyPositive14-69.669.6
Negative16-56.356.30.040
Treatment
SYes9-55.655.6
No32-71.064.50.458
CYes7328.628.6
No34-75.869.90.016
S+CYes24-83.356.3
No17441.241.20.010

Primary pulmonary choriocarcinoma: Summary of reported cases

No of patients55
Gender, male/female17/38
Median age all patients, years34
Median age female, years33
Median age male, years60
Initial symptom
    Cough22
    Dyspnea17
    Hemoptysis14
    Chest pain11
    Asymptomatic8
Location
    Right / Left lung29/18
    Right upper lobe11
    Right middle lobe3
    Right lower lobe15
    Left upper lobe12
    Left lower lobe4
    Bilateral2
Tumor size, cm
    ≤523
    > 5, ≤ 1013
    > 108
Treatment
    S10
    C8
    RT3
    S + C24
    S + C + RT3

Differences between female and male patients primary pulmonary choriocarcinoma

CharacteristicsFemaleMalep-value
Age< 40304
≥ 409130.000
Size, cm< 5177
≥ 51280.162
MetastasisYes1510
No2470.161
SmokingYes29
No3780.000
HemoptysisYes135
No25110.780
Treatment
SYes249
No440.221
CYes2110
No730.895
S+CYes177
No1160.682

Multivariate analysis of prognostic factors, Cox proportional hazards model

S+CHR95% CIp-value
Yes0.1470.036 – 0.5980.007
No1
Smoking
Yes1.8270.418–7.9820.423
No1
Gender
Male1.2660.248–6.4660.776
Female1
Tumour size, cm
≥ 56.6221.622–27.0310.008
< 51
Age, years
≥ 400.8790.164–4.7030.880
< 401
eISSN:
1581-3207
Language:
English
Publication timeframe:
4 times per year
Journal Subjects:
Medicine, Clinical Medicine, Radiology, Internal Medicine, Haematology, Oncology