choriocarcinoma

• 5% of gestational trophoblastic disease
• excessive trophoblastic proliferation without villous structures

• continued bleeding
• elevated hCG after expulsion of molar or normal pregnancy (25%)

• mixed hyperechoic pattern (hemorrhage, necrosis)
• radiodense pulmonary masses with hazy borders due to hemorrhage
• hemorrhagic brain mets
• hyperechoic hepatic foci

© 2002, C.E. Kahn, Jr.
2002-04-18