[Seetal]

A 23-year-old woman has a progressive increase in her serum β-human chorionic gonadotropin (β-hCG) concentrations during an 8-week
period. A hydatidiform mole is removed, but the β-hCG concentration continues to increase. Which of the following is the most likely
diagnosis?

(A) Adrenal adenoma
(B) Choriocarcinoma
(C) Ectopic pregnancy
(D) Pituitary insufficiency
(E) A second noninvasive mole

 

[HouseWannabe]

Hmm, not sure but c?

 

[Seetal]

Hmm, not sure but c?

no... try again. u know the answer but u are just refusing to pick it. i did the same. there it was and YET i chose to pick E (which isnt the answer either)

 

[HouseWannabe]

no... try again. u know the answer but u are just refusing to pick it. i did the same. there it was and YET i chose to pick E (which isnt the answer either)

lol my brain is screaming Choriocarcinoma but i have no explanation so i went with the safer bet.

 

[Seetal]

lol my brain is screaming Choriocarcinoma but i have no explanation so i went with the safer bet.

u see.. always listen to that neurotic screaming voice within.

it is choriocarcinoma!

 

[HouseWannabe]

u see.. always listen to that neurotic screaming voice within.

it is choriocarcinoma!

Lol listening to my gut intinct was the hardest to do when i was preparing. If you have the full explanation can you please post it.

 

[Seetal]

Lol listening to my gut intinct was the hardest to do when i was preparing. If you have the full explanation can you please post it.

no sorry no explanation. i was hoping someone else did.

 

[sam01]

no sorry no explanation. i was hoping someone else did.

Actually,there s an explanation guys.Patients with complete hydatidiform have 20% chance of developing choriocarcinoma

 

[Seetal]

Actually,there s an explanation guys.Patients with complete hydatidiform have 20% chance of developing choriocarcinoma

ok so 20% chance of choriocarcinoma. but couldnt E be the answer at all? is it highly unlikely then to have a hidden mola somewhere? or when a curretage is done ALL of the mola is DEFINITELY removed?

 

[sam01]

ok so 20% chance of choriocarcinoma. but couldnt E be the answer at all? is it highly unlikely then to have a hidden mola somewhere? or when a curretage is done ALL of the mola is DEFINITELY removed?

yes i agree.Therefore they say what is mostly the diagnosis ,so the trophoblastic tissue probably became malignant ,and we know complete mole is the most risk factor .Here we are then