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Discussion Starter · #1 ·
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
 

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Discussion Starter · #9 ·
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?:confused:
 

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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?:confused:
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
 
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