College of American Pathologists

2012 — December Case of the Month

Posted December 6, 2012


CAP Foundation Online Case of the Month

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A 35-year-old woman presented at 10 weeks (by LMP) with vaginal bleeding. A ß-HCG level was obtained and measured 345,000; by report, a subsequent ultrasound was considered “abnormal.” A D & C was performed. Multiple fragments of blood clot admixed with enlarged hydropic-appearing villi measuring 8.0 x 5.0 x 1.0 cm were submitted. No fetal parts were grossly identified.

The master list with the correct answer

  • Choriocarcinoma
  • Complete hydatidiform mole
  • Hydropic abortus
  • Partial hydatidiform mole

Access Case Critique to view:

  • Appropriate diagnosis
  • Critique
  • References

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