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Lung Cancer: Student/Resident Case Report Poster - Lung Cancer II |

Metastatic Choriocarcinoma to the Lung: Changing Dogma

Darius Seidler, MD; Mark Franklin, MD
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Dartmouth-Hitchcock Medical Center, Lebanon, NH


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):765A. doi:10.1016/j.chest.2016.08.860
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SESSION TITLE: Student/Resident Case Report Poster - Lung Cancer II

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Choriocarcinoma is a rare malignant germ cell tumor with a 80-85% rate of lung metastasis (1). Chemotherapy is highly effective, resulting in cure rates of approximately 90% (3). However, mortality rates have historically been close to 100% in patients requiring mechanical ventilation (MV) due to the tumor’s hypervascularity and propensity to bleed, resulting in catastrophic hemoptysis, barotrauma and ARDS (2). With such poor outcomes with MV and the absence of recent data, physicians are forced to rely on older studies which traditionally have argued against MV instead supporting the use of ECMO for management of hypoxia.

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