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Gynaecology & Obstetrics Choriocarcinoma e0783c35

Which of the following is bad prognostic factor for choriocarcinoma?

A
Full term pregnancy
B
Short duration
C
Abortion
D
Low beta HCG
High-Yield Explanation
ANSWER: (A) Full term pregnancyREF: COGDT 10th ed p. 892, Novak's 14th ed p. 1593PROGNOSTIC FACTORS OF CHORIOCARCINOMAGood prognostic factorsBad prognostic factorsShort duration < 4 monthsSerum beta HCG < 40,000 m IU/ mlNo metastasis to brain or liverNo significant prior to chemotherapyLong duration > 4 monthsSerum beta HCG > 40,000 m IU/ mlMetastasis to liver or liverUnsuccessful prior chemotherapyAfter full term pregnancy

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