A rare tumor metastasis of bilateral lung: Epithelioid trophoblastic tumor

Önder Kavurmacı; Tevfik İlker Akçam; Ayşe Gül Ergönül; Seda Akgün Kavurmacı; Kutsal Turhan

doi:10.5606/tgkdc.dergisi.2018.14534

Önder Kavurmacı¹, Tevfik İlker Akçam¹, Ayşe Gül Ergönül¹, Seda Akgün Kavurmacı², Kutsal Turhan¹

¹Department of Thoracic Surgery, Medicine Faculty of Ege University, İzmir, Turkey
²Department of Department of Obstetrics and Gynecology, Medicine Faculty of Ege University, İzmir, Turkey

DOI : 10.5606/tgkdc.dergisi.2018.14534

A 44-year-old female patient with a history of a gestational trophoblastic tumor surgery was referred to our clinic upon detection of cystic-cavitary lesion showing slow progression in both lungs. It was decided to perform bilateral surgery in the patient for diagnosis and treatment purposes; first, left upper lobectomy and one month later, right lower lobectomy were applied. Histopathological examination results of the specimens obtained during both operations reported an epithelioid trophoblastic tumor metastasis. Aspergilloma was also noted in the tumor in left upper lobe at the same time. Epithelioid trophoblastic tumors, a very rare member of gestational trophoblastic tumors, can achieve distant organ metastasis. Surgical treatment remains important in these cases, which are mostly resistant to chemotherapy.

Keywords : Bilateral anatomical lung resection; cavitary lung metastasis; epithelioid trophoblastic tumor

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