Choriocarcinoma

WHAT IS IT?

Choriocarcinoma refers to a form of a gestational trophoblastic neoplasia (a malignancy that arises form the placental trophoblastic tissue, and recreates beta-hCG)

WHAT CAUSES IT?

 

WHY IS IT CONCERNING MEDICALLY?

 

WHAT IS THE INTIAL PRESENTATION?

Patient Chief Complaints:

  • Vaginal bleeding 
  • No menstruation 
  • Pelvic pain/pressure: due to mets in pelvis 
  • Chest pain/coughing up blood/shortness of breath: due to mets in lungs

Detected Medical Problems:

WHAT ARE IMPORTANT ELEMENTS OF THE MEDICAL HISTORY?

Risk Factors:

Medical History:

 

WHAT ARE IMPORTANT FEATURES OF THE PHYSICAL EXAM?

Vital Signs:

 

Other:

 

CLINICAL WORKUP: SERUM STUDIES

Beta-hCG levels elevated:

CLINICAL WORKUP: IMAGING

 

CLINICAL WORKUP: OTHER

 

HOW DO WE NARROW THE DIFFERENTIAL?

Conditions that present similarly and how to exclude them:

 

WHAT IS OUR THRESHOLD FOR DIAGNOSING THIS CONDITION?

 

PATIENT MANAGMENT: SYMPTOM RELEIF

 

PATIENT MANAGEMENT: DISEASE TREATMENT

Chemotherapy 

PATIENT MANAGEMENT: PROPHYLACTIC MEASURES

 

COULD THIS HAVE BEEN PREVENTED?

 

ARCHIVE OF STANDARDIZED EXAM QUESTIONS 

This archive compiles standardized exam questions that relate to this topic.

 

Page Updated: 04.02.2017