Gestational trophoblastic diseases arise from the trophoblast and include hydatidiform moles (80%), gestational trophoblastic neoplasia (16%), and choriocarcinoma (4%). Choriocarcinoma is a malignant tumor of the trophoblast that most commonly spreads to the lungs (80%) and vagina (30%). Diagnosis involves symptoms of bleeding, hCG levels, imaging and biopsy. Treatment is usually chemotherapy, with hysterectomy as an option for resistant cases.

1. Gestational trophoblastic diseases

3. Choriocarcinoma

11. multiple single chemotheraby 9 >8 4-8 1-4 n.Of metastis 8 Brain Liver-GIT Spleen -kidney site of metastis 7 >5 3-5 Tuomer d 6 B-AB O-A Abo group 5 >100000 10000-100000 1000- 10000 1000 HCG iu/l 4 >12 7-12 4-6 4 Interval month 3 Full term abo V.M Associated pregnancy 2 <39 ≥ 39 Age (years) 1 S4 S2 S1 S 0 Prognostic factor

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