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Annals of Oncology 13:170-172, 2002
© 2002 European Society for Medical Oncology

A paraneoplastic syndrome mimicking extrauterine pregnancy

P. Sagaster1,+, N. Zojer1, G. Dekan2 and H. Ludwig1

1First Department of Medicine and Medical Oncology, Wilhelminenspital Montleartstrasse 37, 1160 Vienna; 2Institute of Clinical Pathology, University of Vienna, Vienna, Austria

Received 20 April 2001; accepted 3 May 2001.

We report on a 30-year-old female patient with a ß-human chorionic gonadotropin (ß-HCG)-producing lung tumour. Abdominal discomfort and vaginal bleeding were the presenting symptoms and, in conjunction with elevated ß-HCG levels, initially led to the diagnosis of extrauterine pregnancy. Bilateral ovarian cysts were detected on further diagnostic workup. Ultimately, a chest X-ray revealed a lung tumour. The paraneoplastic symptoms were completely reversible after resection of the lung lesion, and the ovarian cysts disappeared.

Key words: human chorionic gonadotropin, lung cancer, paraneoplastic


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