Choriocarcinoma

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[edit] Discussion

  • Approximately 5% of cases of complete hydatidiform mole are followed by choriocarcinoma.
  • Only about half the cases of choriocarcinoma arise from complete hydatidiform mole. An additional 25% of cases arise after normal pregnancies, and 25% follow spontaneous abortion or ectopic pregnancy.
  • Those cases that arise after complete hydatidiform mole are nearly all cured by chemotherapy (in contrast to the others, which have a less favorable prognosis).

[edit] Imaging Findings

  • Regardless of the imaging modality used, choriocarcinoma often appears as a mass enlarging the uterus.
  • Sometimes it manifests as a discrete, central, infiltrative mass.
  • Its heterogeneous appearance correlates with the necrosis and hemorrhage that characterize these lesions.

[edit] Images

Patient #1

[edit] See Also

[edit] External Links

[edit] References