A 27 year old female presented with increased vaginal bleeding. The patient gave history of normal vaginal delivery two and a half months back.
USG : showed an ill defined mass in the uterine endometrium infiltrating the myometrium with increased flow signals.
Differential of Choriocarcinoma / Invasive mole was suggested.
Subsequently advised to undergo serum beta HCG which was markedly raised.
A screening CT chest showed nodular lesions (image not shown here) representing metastases. CSF beta HCG was done and found to be markedly raised.
Final diagnosis : Choriocarcinoma following normal pregnancy.
Image courtesy : DrAyushGoel
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Dr Ayush Goel
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