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Pulmonary Metastasis in Infantile Choriocarcinoma: Successful Outcome. BACKGROUND: Infantile choriocarcinoma is usually fatal without appropriate treatment. CASE CHARACTERISTICS: A 3-month-old boy who presented with respiratory distress, hepatomegaly, amemia and bilateral nodular lesions on chest X-ray. OBSERVATION: Fine-needle liver aspiration revealed necrotic tumour cells. The serum b-hCG level was very high (2057 mIU/L), supporting a diagnosis of infantile choriocarcinoma of the liver. Surgical resection after cisplatin-based multiagent chemotherapy afforded successful remission. MESSAGE: Early treatment of infantile choriocarcinoma can yield a successful outcome.