PULMONARY METASTASES FROM CHORIOCARCINOMA AND PULMONARY ARTERIOVENOUSANEURYSMS

Pulmonary metastases from a uterine choriocarcinoma are rare in France . The authors report a case of a 42 years old patient who presented mo re than four years after her last pregnancy with a metastasis in the l eft lower lobe due to a uterine choriocarcinoma. There was a favourabl e outcome after combined treatment with chemotherapy and surgery. The patient had been in hospital eighteen months earlier for a spontaneous left haemothorax secondary to a ruptured intrapleural pulmonary arter io-venous aneurysm (AVV) of the left lower lobe which was treated by e mbolisation. The aetiology of pulmonary AVV are defined, and the patho physiology of uterine carcinoma as well as the probable association an d pulmonary vascular anomalies are discussed.