Choriocarcinoma

Alternative names:

chorioblastoma; chorioepithelioma; invasive/malignant mole; trophoblastic tumor

Symptoms:

• continued vaginal bleeding in a woman with recent history of hydatidiform mole, abortion, or term pregnancy

Additional symptom that may be associated with this disease:

• abnormal nipple discharge

Signs and tests:

Pelvic examination may reveal continued uterine enlargement or a tumor may be able to be felt within the genito-urinary tract.

Tests include:

• continued elevation of serum HCG (blood test to confirm pregnancy)
• CT scan to detect potential metastatic tumor in any organ

Note: These signs and tests apply to women with a recent history of hydatidiform mole, abortion, or term pregnancy.

This disease may also alter the results of the following tests:

• pregnanediol
• HCG (quantitative)
• HCG (qualitative - urine)