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?
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.
Benign complete mole
Benign incomplete mole
Invasive mole
Choriocarcinoma