RT Book, Section A1 Rogers, Vanessa L. A1 Roberts, Scott W. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1184182101 T1 Gestational Trophoblastic Disease (Hydatidiform Mole & Choriocarcinoma) T2 Current Medical Diagnosis & Treatment 2022 YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781264269389 LK accessmedicine.mhmedical.com/content.aspx?aid=1184182101 RD 2024/03/28 AB ESSENTIALS OF DIAGNOSISHydatidiform moleAmenorrhea.Irregular uterine bleeding.Serum beta-hCG > 40,000 milli-units/mL.Passage of grapelike clusters of enlarged edematous villi per vagina.Uterine ultrasound shows characteristic heterogeneous echogenic image and no fetus or placenta.Cytogenetic composition is 46,XX (85%), of paternal origin.ChoriocarcinomaPersistence of detectable beta-hCG after mole evacuation.