case_images: PMC11371442_01
case_images: (a-l) Photographs showing various stages of treatment (before and after). (a-d) Macroscopic appearance of vulvar choriocarcinoma lesions before initiation of therapy. (e-k) Tumor shrinkage after the initiation of chemotherapy treatment. Chemotherapy administration in cycles: (e) 1st cycle, (f) 2nd cycle, (g) 3rd cycle, (h) 4th cycle, (i) 5th cycle, (j) 6th cycle, and (k) 7th cycle. (l) Current appearance 2 months after treatment completion.
case_images: CRIOG2024-9918452.001.jpg
case_images: PMC11371442_01_CRIOG2024-9918452.001.jpg
case_images: fig1
case_images: Upon examination at ORCI, she presented with a vulvar mass approximately 10 x 8 x 6 cm, prone to bleeding upon touch, with necrotic tissues at the margins, and vaginal bleeding (Figures 1(a), 1(b), and 1(c)). This regimen resulted in tumor shrinkage, wound healing (Figures 1(e), 1(f), 1(g), 1(h), 1(i), 1(j), and 1(k)), and improved patient condition. Ultimately, there was significant tumor size reduction (Figures 1(e), 1(f), 1(g), 1(h), 1(i), 1(j), and 1(k)) and wound healing (Figure 1(l)).
case_images: CT scan images showing a mass on the vulva. Reformatted images showing heterogenous enhancing mass on the right side of the vulva extending to the pelvis compressing the urinary bladder with no signs of infiltration and no bone involvement. (a) Coronal view, with a blue arrow showing the mass. (b) Sagittal view, showing mass (blue arrow), uterus (red arrowheads), and urinary bladder (green arrowheads).
case_images: CRIOG2024-9918452.002.jpg
case_images: PMC11371442_01_CRIOG2024-9918452.002.jpg
case_images: fig2
case_images: Imaging studies revealed a heterogenous enhanced mass originating from the right side of the vulva (Figures 2(a) and 2(b)), with an extension to the pelvic region ipsilaterally with an area of necrosis measuring 133.5 x 83.5 mm (Figures 2(a) and 2(b)).
case_images: CT scan images showing lung nodules (cannon balls). Reformatted images show lung nodules on the lateral segment of the left lower lobe, (a) coronal view, with a blue arrow showing the lung nodule. (b) The sagittal view shows a pleural-based lung nodule (blue arrow).
case_images: CRIOG2024-9918452.003.jpg
case_images: PMC11371442_01_CRIOG2024-9918452.003.jpg
case_images: fig3
case_images: CT scan showed three nodular opacities (cannon balls), likely representing lung metastasis (Figure 3).