Gestational trophoblastic disease

A possible symptom is continued vaginal bleeding in a woman with a recent history of hydatidiform mole, abortion, or term pregnancy.

Additional symptoms that may be associated with this disease include:

• Irregular vaginal bleeding
• Theca lutein cysts on the ovaries
• Uneven enlargement of the uterus
• Persistently elevated HCG (pregnancy hormone) levels
• Pain
• Symptoms related to the disease spreading to other organs such as lungs, liver, and brain

A pelvic examination may reveal continued uterine enlargement or a tumor. These conditions may be felt within the genito-urinary tract.

Tests include:

• Quantitative serum HCG (blood test to confirm pregnancy)
• CT scan to detect potential metastatic tumor in any organ
• Chest x-ray

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