Pulmonary Metastasis in Infantile Choriocarcinoma: Successful Outcome

Infantile choriocarcinoma is usually fatal without appropriate treatment. A 3-month-old boy who presented with respiratory distress, hepatomegaly, amemia and bilateral nodular lesions on chest X-ray. Fine-needle liver aspiration revealed necrotic tumour cells. The serum β-hCG level was very high (2057 mIU/L), supporting a diagnosis of infantile choriocarcinoma of the liver. Surgical resection after cisplatin-based multiagent chemotherapy afforded successful remission. Early treatment of infantile choriocarcinoma can yield a successful outcome.