Features
Presentation is most commonly with vaginal bleeding which may follow some months (or years) after childbirth or abortion.
Other symptoms include general malaise and amenorrhoea - due to excess beta-hCG - and evidence of metastatic disease, for example:
- haemoptysis, cough, dyspnoea - from lung metastasis
- headache, dizziness, faints - from CNS involvement
- rectal bleeding - from GIT lesions
The uterus is usually enlarged.
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