A woman comes to you with vomiting and vaginal bleed. Fuher investigation reveals that she has a trophoblastic disease which has also burrowed into the myometrium. Histopathology showed evidence of chorionic villi. What is your diagnosis?
High-Yield Explanation
Benign mole whether complete or paial, doesn't invade the myometrium. Chorionic carcinoma will show no evidence of chorionic villus. A hydatidiform mole invading the myometrium is called an invasive mole. Ref: Shaw's textbook of gynaecology, edition 12, Page - 192.