Choriocarcinoma Presenting with Spinal Metastasis: Case Report and Review of the LiteratureKeveh Ebrahimzadeh, Mohammad Hallajnejad, Amirarsalan Amin Darozarbi, Mehrdad Hosseinzadeh Bakhtevari*, Reza Jabbari and Omidvar Rezaei
Department of Neurosurgery, Loghman Hakim hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
- *Corresponding Author:
- Mehrdad Hosseinzadeh Bakhtevari, M.D.
Clinical Neurosurgeon, Department of Neurosurgery
Loghman Hakim Hospital
Shahid Beheshti University of Medical Sciences, Tehran, Iran
Tel: +9821-55414065; +98912-1874506
E-mail: [email protected], [email protected]
Received date: May 13, 2016; Accepted date: October 13, 2016; Published date: October 15, 2016
Citation: Ebrahimzadeh K, Hallajnejad M, Darozarbi AA, Bakhtevari MH, Jabbari R, et al. (2016) Choriocarcinoma Presenting with Spinal Metastasis: Case Report and Review of the Literature. J Spine 5:336. doi:10.4172/2165-7939.1000336
Copyright: © 2016 Ebrahimzadeh K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Gestational trophoblastic disease (GTD) is a spectrum of cellular proliferations originating from placental villous trophoblasts. Spinal metastasis of choriocarcinoma is rare, especially after a normal pregnancy. In this paper, we present a rare case of metastatic choriocarcinoma to the lumbar spine as the first manifestation of disease. The patient underwent surgery, and a dark red hemorrhagic, epidural mass was totally removed. Histopathologic studies on the mass and specimen from the episiotomy site led to a diagnosis of metastatic choriocarcinoma. Surgical resection has a limited role in metastatic choriocarcinoma, but it should be considered if rapid-onset neurological deficit appears due to spinal cord compression.