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{{Choriocarcinoma}}
{{Gestational trophoblastic neoplasia}}
{{CMG}}
{{CMG}}{{AE}}{{MD}}{{Sab}}
==Overview==
==Overview==
Gestational trophoblastic neoplasia patients can present with history of previous pregnancies including [[hydatidiform mole]] ([[Hydatidiform mole|molar pregnancy]]) and [[miscarriage]], history of previous [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]], and [[Medical sign|signs]] and [[Symptom|symptoms]] that may suggest [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]. Symptoms of choriocarcinoma include [[vaginal bleeding]], passing of [[Tissue (biology)|tissue]] resembling a “bunch of grapes” from the [[vagina]], and [[Abdomen|abdominal]] distension.
==History==
==History==
The medical history is a record of present symptoms, risk factors and all the medical events and problems a person has had in the past. The medical history of a person’s family may also help the doctor to diagnose GTD.
When obtaining history from a [[patient]] with suspected gestational trophoblastic neoplasia, specific areas of focus include:
In taking a medical history, the doctor will ask questions about:
* History of previous [[pregnancies]], including [[hydatidiform mole]] ([[Hydatidiform mole|molar pregnancy]]) and [[miscarriage]]
* A personal history of
* History of previous [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]
* Previous pregnancies, including hydatidiform mole (molar pregnancy) and miscarriage
* [[Reproductive system|Reproductive]] factors that may increase the risk of [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]
* Previous GTD
* A family history of [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]
* Reproductive factors that may increase the risk of GTD
* [[Medical sign|Signs]] and [[Symptom|symptoms]] that may suggest [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]
* A family history of GTD
 
* Signs and symptoms that may suggest GTD
==Symptoms==
==Symptoms==
Symptoms of gestational trophoblastic disease
===Early Symptoms of Gestational Trophoblastic Neoplasia===
* [[Vaginal bleeding]]
* [[Vaginal bleeding]]<ref name="xxx">Signs and symptoms of gestational trophoblastic disease. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/gestational-trophoblastic-disease/signs-and-symptoms/?region=ns Accessed on October 10, 2015</ref>
* Swelling of the abdomen
* [[Nausea]] and [[vomiting]]  
* With a hydatidiform mole, the abdomen and uterus may grow at a much faster rate than with a normal pregnancy
* Passing of  [[Tissue (biology)|tissue]] resembling a “bunch of grapes” from the [[vagina]]
* [[Nausea]] and [[vomiting]] or [[hyperemesis gravidarum]]
* Absent [[fetal]] movement during [[pregnancy]]
* Passing of  tissue resembling a “bunch of grapes” from the vagina
* [[Abdomen|Abdominal]] distension
* Absent fetal movement during pregnancy
===Rare Symptoms of Gestational Trophoblastic Neoplasia===
Rare symptoms of GTD are:
* [[Headache]]
* [[Headache]]
* [[Edema ]]of the hands and feet
* [[Edema ]]of the [[Hand|hands]] and feet
* Abdominal or pelvic pain
* [[Abdomen|Abdominal]] or [[Pelvis|pelvic]] pain
* Vaginal discharge
* [[Vaginal discharge]]
* Overactive thyroid gland (hyperthyroidism) that causes:
* Overactive [[thyroid gland]] ([[hyperthyroidism]]) that causes:
:* [[Tachycardia]]
:* [[Tachycardia]]
:* [[Sweating]]
:* [[Sweating]]
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:* Heat intolerance
:* Heat intolerance
:* [[Fever]]
:* [[Fever]]
Late symptoms
===Late Symptoms of Gestational Trophoblastic Neoplasia===
* [[Hemoptysis]]
* [[Hemoptysis]]
* Dry cough
* Dry [[cough]]
* [[Chest pain]]
* [[Chest pain]]
* Trouble breathing
* Trouble [[breathing]]
* [[Headache]]
* [[Headache]]
* [[Dizziness]]
* [[Dizziness]]
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* [[Seizure]]
* [[Seizure]]
* [[Dysarthria]] and [[dysphasia]]
* [[Dysarthria]] and [[dysphasia]]
* Vision problems
* [[Visual system|Vision]] problems
* Lump in the vagina
* [[Lump]] in the [[vagina]]
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Gynecology]]
[[Category:Surgery]]

Latest revision as of 20:06, 19 March 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]Sabawoon Mirwais, M.B.B.S, M.D.[3]

Overview

Gestational trophoblastic neoplasia patients can present with history of previous pregnancies including hydatidiform mole (molar pregnancy) and miscarriage, history of previous gestational trophoblastic disease (GTD), and signs and symptoms that may suggest gestational trophoblastic disease (GTD). Symptoms of choriocarcinoma include vaginal bleeding, passing of tissue resembling a “bunch of grapes” from the vagina, and abdominal distension.

History

When obtaining history from a patient with suspected gestational trophoblastic neoplasia, specific areas of focus include:

Symptoms

Early Symptoms of Gestational Trophoblastic Neoplasia

Rare Symptoms of Gestational Trophoblastic Neoplasia

Late Symptoms of Gestational Trophoblastic Neoplasia

References

  1. Signs and symptoms of gestational trophoblastic disease. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/gestational-trophoblastic-disease/signs-and-symptoms/?region=ns Accessed on October 10, 2015

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