Spontaneous bleeding from an unusual renal mass: A case of gestational choriocarcinoma related to previous pregnancy over a decade earlier

Yilu He; Varun Bhoopathy; David Habashy; Stuart Adams; Steve P McCombie; Mohan Arianayagam

doi:10.1016/j.eucr.2021.101614

Spontaneous bleeding from an unusual renal mass: A case of gestational choriocarcinoma related to previous pregnancy over a decade earlier

Urol Case Rep. 2021 Mar 17:37:101614. doi: 10.1016/j.eucr.2021.101614. eCollection 2021 Jul.

Authors

Yilu He¹, Varun Bhoopathy¹, David Habashy², Stuart Adams³, Steve P McCombie^{1

4

5}, Mohan Arianayagam¹

Affiliations

¹ Nepean Urology Research Group, Nepean Hospital, Kingswood, NSW, Australia.
² Nepean Urology Research Group, Nepean Hospital, PO Box 63, Penrith, NSW, 2751, Australia.
³ NSW Health Pathology, Nepean Hospital, Penrith, NSW, 2751, Australia.
⁴ Fiona Stanley Hospital, Murdoch, WA, Australia.
⁵ University of Western Australia, Crawley, WA, Australia.

Abstract

Gestational choriocarcinoma is an uncommon trophoblastic malignancy, occurring in females after pregnancy, which is rarely encountered by urologists. It can be rapidly progressive, however metastases to other organs can occur after a prolonged latency period. We describe a rare case of solitary metastatic gestational choriocarcinoma presenting with spontaneous bleeding from a renal mass, over a decade after the associated pregnancy with a presumed sub-clinical primary tumour. This case demonstrates the importance of recognising gestational choriocarcinoma as a potential differential diagnosis of spontaneous bleeding renal mass in females of child-bearing age as a urologist given the often-aggressive nature of the disease.

Keywords: Choriocarcinoma in female; Gestational choriocarcinoma; Single renal metastasis.

Publication types

Case Reports