Gestational Trophoblastic Neoplasia (GTN) — Topic Test
13 questions · exam mode (answers revealed at the end). 18 min suggested.
A 31-year-old at 12 weeks is found to have a uterus larger than dates, no fetal heart, theca lutein cysts and a serum beta-hCG of 220000 mIU/mL. Suction evacuation confirms a complete hydatidiform mole. Which feature most strongly predicts progression to gestational trophoblastic neoplasia in this patient?
APresence of fetal red cells on histology
BMaternal age below 30 years
CMarkedly elevated pre-evacuation beta-hCG with theca lutein cysts
DPre-evacuation uterine size less than dates