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Pathology 10

A 37-year-old G5P005 woman presents to the emergency department with abnormal uterine bleeding for the past week and shortness of breath for the past two days. She has not had any prenatal care for the current pregnancy, and her earlier pregnancies have all been uncomplicated vaginal deliveries. She states that her last menstrual period was about 12 weeks ago. Past medical history is otherwise unremarkable. On physical examination, breath sounds are decreased bilaterally, and measurement of fundal height is consistent with a pregnancy of 30 weeks’ gestation. There is scant vaginal bleeding on speculum exam. B-HCG measures 22,000 mIU/mL. She is referred for further evaluation of choriocarcinoma.

Which of the following is the most common site of metastasis of choriocarcinoma?

  • A) Heart
  • B) Kidneys
  • C) Lungs
  • D) Pancreas
  • E) Thyroid

Authors

Varun Moktan

Editor

Dr. Ted O'Connell

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