A malignant metastatic form of trophoblastic tumors. Unlike the HYDATIDIFORM MOLE, choriocarcinoma contains no CHORIONIC VILLI but rather sheets of undifferentiated cytotrophoblasts and syncytiotrophoblasts (TROPHOBLASTS). It is characterized by the large amounts of CHORIONIC GONADOTROPIN produced. Tissue origins can be determined by DNA analyses: placental (fetal) origin or non-placental origin (CHORIOCARCINOMA, NON-GESTATIONAL).
A highly malignant CHORIOCARCINOMA derived from the non-placental origin such as the totipotent cells in the TESTIS, the OVARY, and the PINEAL GLAND. It produces high levels of CHORIONIC GONADOTROPIN and can metastasize widely through the bloodstream to the lungs, brain, liver, bone, and other viscera by the time of diagnosis.
Tumors or cancer of the UTERUS.
Trophoblastic hyperplasia associated with normal gestation, or molar pregnancy. It is characterized by the swelling of the CHORIONIC VILLI and elevated human CHORIONIC GONADOTROPIN. Hydatidiform moles or molar pregnancy may be categorized as complete or partial based on their gross morphology, histopathology, and karyotype.
Trophoblastic growth, which may be gestational or nongestational in origin. Trophoblastic neoplasia resulting from pregnancy is often described as gestational trophoblastic disease to distinguish it from germ cell tumors which frequently show trophoblastic elements, and from the trophoblastic differentiation which sometimes occurs in a wide variety of epithelial cancers. Gestational trophoblastic growth has several forms, including HYDATIDIFORM MOLE and CHORIOCARCINOMA. (From Holland et al., Cancer Medicine, 3d ed, p1691)
Cells lining the outside of the BLASTOCYST. After binding to the ENDOMETRIUM, trophoblasts develop into two distinct layers, an inner layer of mononuclear cytotrophoblasts and an outer layer of continuous multinuclear cytoplasm, the syncytiotrophoblasts, which form the early fetal-maternal interface (PLACENTA).
A uterine tumor derived from persistent gestational TROPHOBLASTS, most likely after a molar pregnancy (HYDATIDIFORM MOLE). Invasive hyadatiform mole develops in about 15% of patients after evacuation of a complete mole and less frequently after other types of gestation. It may perforate the MYOMETRIUM and erode uterine vessels causing hemorrhage.
A group of diseases arising from pregnancy that are commonly associated with hyperplasia of trophoblasts (TROPHOBLAST) and markedly elevated human CHORIONIC GONADOTROPIN. They include HYDATIDIFORM MOLE, invasive mole (HYDATIDIFORM MOLE, INVASIVE), placental-site trophoblastic tumor (TROPHOBLASTIC TUMOR, PLACENTAL SITE), and CHORIOCARCINOMA. These neoplasms have varying propensities for invasion and spread.
The beta subunit of human CHORIONIC GONADOTROPIN. Its structure is similar to the beta subunit of LUTEINIZING HORMONE, except for the additional 30 amino acids at the carboxy end with the associated carbohydrate residues. HCG-beta is used as a diagnostic marker for early detection of pregnancy, spontaneous abortion (ABORTION, SPONTANEOUS); ECTOPIC PREGNANCY; HYDATIDIFORM MOLE; CHORIOCARCINOMA; or DOWN SYNDROME.
A gonadotropic glycoprotein hormone produced primarily by the PLACENTA. Similar to the pituitary LUTEINIZING HORMONE in structure and function, chorionic gonadotropin is involved in maintaining the CORPUS LUTEUM during pregnancy. CG consists of two noncovalently linked subunits, alpha and beta. Within a species, the alpha subunit is virtually identical to the alpha subunits of the three pituitary glycoprotein hormones (TSH, LH, and FSH), but the beta subunit is unique and confers its biological specificity (CHORIONIC GONADOTROPIN, BETA SUBUNIT, HUMAN).
A highly vascularized mammalian fetal-maternal organ and major site of transport of oxygen, nutrients, and fetal waste products. It includes a fetal portion (CHORIONIC VILLI) derived from TROPHOBLASTS and a maternal portion (DECIDUA) derived from the uterine ENDOMETRIUM. The placenta produces an array of steroid, protein and peptide hormones (PLACENTAL HORMONES).
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
The threadlike, vascular projections of the chorion. Chorionic villi may be free or embedded within the DECIDUA forming the site for exchange of substances between fetal and maternal blood (PLACENTA).
The alpha chain of pituitary glycoprotein hormones (THYROTROPIN; FOLLICLE STIMULATING HORMONE; LUTEINIZING HORMONE) and the placental CHORIONIC GONADOTROPIN. Within a species, the alpha subunits of these four hormones are identical; the distinct functional characteristics of these glycoprotein hormones are determined by the unique beta subunits. Both subunits, the non-covalently bound heterodimers, are required for full biologic activity.
Cells grown in vitro from neoplastic tissue. If they can be established as a TUMOR CELL LINE, they can be propagated in cell culture indefinitely.
Tumors or cancer of the TESTIS. Germ cell tumors (GERMINOMA) of the testis constitute 95% of all testicular neoplasms.

Postmenopausal choriocarcinoma: a case report. (1/10)

Postmenopausal uterine choriocarcinoma is very rare and benefits of curative chemotherapy. We present here the case of 62-year-old women with uterine bleeding. Emergency surgery revealed a uterine tumor and histopathology findings were consistent with choriocarcinoma. Immunohistochemistry tests confirmed betahCG and cytokeratin expression by malignant cells, thus establishing the positive diagnosis.  (+info)

Primary non-gestational uterine cervical choriocarcinoma with metaplastic transformation from squamous cells. (2/10)

BACKGROUND: Primary non-gestational uterine cervical choriocarcinoma is very unusual and although it has been hypothesized that it can arise by metaplastic transformation of cervical epithelium, solid evidence has been lacking. CASE: Primary non-gestational uterine cervical choriocarcinoma was diagnosed in a 47-year-old, woman undergoing tubal resection 17 years previously. A histologically- and immunohistochemically-confirmed, non-gestational cervical choriocarcinoma could be diagnosed in which there was metaplastic transformation from squamous cells . The patient underwent 5 courses of an actinomycin-D chemotherapeutic regimen and radical hysterectomy with bilateral pelvic lymphadenectomy. CONCLUSION: Primary non-gestational uterine cervical choriocarcinoma may indeed arise from metaplastic transformation of epithelial tissue.  (+info)

Male choriocarcinoma with metastasis to the jejunum: a case report and review of the literature. (3/10)

We report on a patient with male choriocarcinoma. The patient was a 31-year-old male patient with jejunal choriocarcinoma that metastasized from the mediastinum. He was admitted complaining of melena and severe anemia. Upper and lower gastrointestinal endosocopy was performed, but no source of bleeding was seen. Chest X-ray and CT revealed a mediastinal tumor 7 cm in size anterior to the arotic arch. Superior mesenteric arteriography showed irregularities and macular opacity in the jejunal artery. An emergency laparatomy was performed because of massive gastrointestinal bleeding. A jejunal tumor approximately 4 cm in size was resected and numerous metastases were observed in the liver and mesentery. Histopathological examination showed metastatic jejunal choriocarcinoma. Gynecomastia was not present and the testes were normal. Serum beta-human chorionic gonadotropin (HCG) was at an abnormally high level of 4,396 ng/mL. Because of metastases to the brain and invasion to the trachea, he died on postoperative day 20. We report this rare case of a male patient with metastases of choriocarcinoma to the gastrointestinal tract from the mediastinum, together with a review of the literature.  (+info)

Primary intracranial choriocarcinoma: MR imaging findings. (4/10)

 (+info)

Papillary cystadenofibroma of epididymis: a case report. (5/10)

We present the first reported case of papillary cystadenofibroma of the epididymis. The tumor occurred in a 46-year-old man. The mass was 3.7 cm and included a hemorrhagic fluid-filled cyst. Microscopically, stromal-filled papillae were lined by low cuboidal to columnar epithelium. Epithelial cells were reactive for cytokeratin 7, cytokeratins AE1/3, and focally in the apical cytoplasm for CD10. Focal CD10 reactivity was also noted in the stroma. The lesion was negative for alpha-fetoprotein. These findings ruled out other lesions, including metastatic renal cell carcinoma.  (+info)

Pathological complete response and two-year disease-free survival in a primary gastric choriocarcinoma patient with advanced liver metastases treated with germ cell tumor-based chemotherapy: a case report. (6/10)

 (+info)

Pure nongestational choriocarcinoma of the ovary: a case report. (7/10)

 (+info)

Complete response to multidisciplinary therapy in a patient with primary gastric choriocarcinoma. (8/10)

 (+info)

Choriocarcinoma is a rapidly growing and invasive type of gestational trophoblastic disease (GTD), which are abnormal growths that develop in the tissues that are supposed to become the placenta during pregnancy. It occurs when a malignant tumor develops from trophoblast cells, which are normally found in the developing embryo and help to form the placenta.

Choriocarcinoma can occur after any type of pregnancy, including normal pregnancies, molar pregnancies (a rare mass that forms inside the uterus after conception), or ectopic pregnancies (when a fertilized egg implants outside the uterus). It is characterized by the presence of both trophoblastic and cancerous cells, which can produce human chorionic gonadotropin (hCG) hormone.

Choriocarcinoma can spread quickly to other parts of the body, such as the lungs, liver, brain, or vagina, through the bloodstream. It is important to diagnose and treat choriocarcinoma early to prevent serious complications and improve the chances of a successful treatment outcome. Treatment typically involves surgery, chemotherapy, or radiation therapy.

Choriocarcinoma, non-gestational is a rare type of cancer that develops from the abnormal growth of cells that form the placenta. Unlike gestational choriocarcinoma, which arises during pregnancy or after it has ended, non-gestational choriocarcinoma is not related to pregnancy and can occur in both men and women. It typically occurs in the ovaries, testicles, or other organs where trophoblastic cells (cells that normally develop into the placenta) may be found.

Non-gestational choriocarcinoma is an aggressive cancer that can spread quickly to other parts of the body, such as the lungs, liver, and brain. It is usually treated with a combination of chemotherapy, surgery, and radiation therapy. The prognosis for non-gestational choriocarcinoma depends on several factors, including the stage of the cancer at diagnosis, the patient's age and overall health, and the response to treatment.

Uterine neoplasms refer to abnormal growths in the uterus, which can be benign (non-cancerous) or malignant (cancerous). These growths can originate from different types of cells within the uterus, leading to various types of uterine neoplasms. The two main categories of uterine neoplasms are endometrial neoplasms and uterine sarcomas.

Endometrial neoplasms develop from the endometrium, which is the inner lining of the uterus. Most endometrial neoplasms are classified as endometrioid adenocarcinomas, arising from glandular cells in the endometrium. Other types include serous carcinoma, clear cell carcinoma, and mucinous carcinoma.

Uterine sarcomas, on the other hand, are less common and originate from the connective tissue (stroma) or muscle (myometrium) of the uterus. Uterine sarcomas can be further divided into several subtypes, such as leiomyosarcoma, endometrial stromal sarcoma, and undifferentiated uterine sarcoma.

Uterine neoplasms can cause various symptoms, including abnormal vaginal bleeding or discharge, pelvic pain, and difficulty urinating or having bowel movements. The diagnosis typically involves a combination of imaging tests (such as ultrasound, CT, or MRI scans) and tissue biopsies to determine the type and extent of the neoplasm. Treatment options depend on the type, stage, and patient's overall health but may include surgery, radiation therapy, chemotherapy, or hormone therapy.

A hydatidiform mole, also known as a molar pregnancy, is a type of gestational trophoblastic disease (GTD), which is a group of rare disorders that involve abnormal growth of the placental tissue.

In a hydatidiform mole, there is an abnormal fertilization event leading to the growth of a mass of grapelike cysts in the uterus instead of a normal pregnancy. The chromosomes from the sperm and egg do not combine properly, resulting in an extra set of chromosomes, which leads to the development of the mole.

Hydatidiform moles can be complete or partial:

* Complete hydatidiform mole (CHM): This type arises when an egg without a nucleus is fertilized by one or two sperm, leading to the growth of abnormal placental tissue with no embryo. The chromosomes come from the father only, and there are typically 46 chromosomes, all of paternal origin.
* Partial hydatidiform mole (PHM): This type occurs when an egg is fertilized by two sperm or a single sperm that duplicates itself, resulting in an abnormal placenta with some fetal tissue. The chromosomes are of both maternal and paternal origin, and the placental tissue has a mix of normal and abnormal cells.

Hydatidiform moles can cause vaginal bleeding, rapid uterine enlargement, and high levels of human chorionic gonadotropin (hCG) hormone in the blood. They are usually detected during an ultrasound exam and require medical treatment to prevent complications such as gestational trophoblastic neoplasia, a malignant form of GTD that can spread to other organs.

Trophoblastic neoplasms are a group of rare tumors that originate from the trophoblast, which is the outer layer of cells that surrounds a developing embryo and helps to form the placenta during pregnancy. These tumors can be benign or malignant and are characterized by their ability to produce human chorionic gonadotropin (hCG), a hormone that is normally produced during pregnancy.

There are several types of trophoblastic neoplasms, including:

1. Hydatidiform mole: A benign growth that forms in the uterus when a fertilized egg implants but does not develop into a normal embryo. There are two types of hydatidiform moles: complete and partial. Complete moles have no fetal tissue, while partial moles have some fetal tissue.
2. Invasive mole: A malignant form of hydatidiform mole that invades the uterine wall and may spread to other parts of the body.
3. Choriocarcinoma: A rapidly growing and highly invasive malignant tumor that can arise from a hydatidiform mole, a normal pregnancy, or an ectopic pregnancy. It can spread quickly to other parts of the body, such as the lungs, liver, and brain.
4. Placental site trophoblastic tumor (PSTT): A rare type of trophoblastic neoplasm that arises from the cells that attach the placenta to the uterine wall. It is usually slow-growing but can be aggressive in some cases.
5. Epithelioid trophoblastic tumor (ETT): Another rare type of trophoblastic neoplasm that arises from the cells that form the placental villi. It is typically low-grade and has a good prognosis, but it can recur in some cases.

The treatment for trophoblastic neoplasms depends on the type and stage of the tumor. Treatment options may include surgery, chemotherapy, radiation therapy, or a combination of these approaches. Regular monitoring of hCG levels is also important to ensure that the tumor has been completely removed and to detect any recurrence early.

Trophoblasts are specialized cells that make up the outer layer of a blastocyst, which is a hollow ball of cells that forms in the earliest stages of embryonic development. In humans, this process occurs about 5-6 days after fertilization. The blastocyst consists of an inner cell mass (which will eventually become the embryo) and an outer layer of trophoblasts.

Trophoblasts play a crucial role in implantation, which is the process by which the blastocyst attaches to and invades the lining of the uterus. Once implanted, the trophoblasts differentiate into two main layers: the cytotrophoblasts (which are closer to the inner cell mass) and the syncytiotrophoblasts (which form a multinucleated layer that is in direct contact with the maternal tissues).

The cytotrophoblasts proliferate and fuse to form the syncytiotrophoblasts, which have several important functions. They secrete enzymes that help to degrade and remodel the extracellular matrix of the uterine lining, allowing the blastocyst to implant more deeply. They also form a barrier between the maternal and fetal tissues, helping to protect the developing embryo from the mother's immune system.

Additionally, trophoblasts are responsible for the formation of the placenta, which provides nutrients and oxygen to the developing fetus and removes waste products. The syncytiotrophoblasts in particular play a key role in this process by secreting hormones such as human chorionic gonadotropin (hCG), which helps to maintain pregnancy, and by forming blood vessels that allow for the exchange of nutrients and waste between the mother and fetus.

Abnormalities in trophoblast development or function can lead to a variety of pregnancy-related complications, including preeclampsia, intrauterine growth restriction, and gestational trophoblastic diseases such as hydatidiform moles and choriocarcinomas.

An invasive hydatidiform mole (IHM) is a rare and aggressive complication of a gestational trophoblastic disease (GTD), which itself originates from the abnormal proliferation of trophoblastic cells, the tissue that normally develops into the placenta during pregnancy. IHMs are characterized by the invasion of molar villi into the myometrium (the muscular layer of the uterus) and can potentially spread to other organs through the bloodstream, leading to distant metastases.

IHMs usually arise from a complete hydatidiform mole (CHM), which is an abnormal conceptus with no embryonic or fetal development. CHMs are typically diploid and originate from the fertilization of an egg without genetic material (an empty egg or an egg with two sets of paternal chromosomes) by one or two sperm cells. This results in a conceptus with only paternal chromosomes, which leads to uncontrolled proliferation of trophoblastic tissue and the formation of grapelike vesicles filled with fluid (hydatidiform moles).

Invasive hydatidiform moles can cause various symptoms, such as vaginal bleeding, pelvic pain, or the presence of an enlarged uterus. They also pose a risk for developing choriocarcinoma, another type of gestational trophoblastic neoplasia (GTN), which is a malignant tumor that can metastasize and spread to other organs. Proper diagnosis and timely treatment are crucial to prevent severe complications and improve the prognosis for patients with IHMs. Treatment usually involves surgical removal of the mole, followed by chemotherapy to eliminate any residual disease and reduce the risk of GTN development.

Gestational Trophoblastic Disease (GTD) is a group of rare pregnancy-related disorders that involve abnormal growth of cells inside a woman's uterus. These cells are part of the placenta, which provides nutrients to the developing fetus. GTD occurs when some of these cells grow in an uncontrolled way, forming tumors or tumor-like growths.

There are several types of GTD:

1. Hydatidiform Mole (HM): Also known as a molar pregnancy, this is the most common type of GTD. It occurs when an egg that has no genetic information is fertilized by a sperm and then divides into multiple copies. This results in a growth that resembles a cluster of grapes, rather than a developing fetus. There are two types of HMs: complete and partial. A complete HM forms when an empty egg is fertilized by two sperms, resulting in no fetal tissue. A partial HM forms when a normal egg is fertilized by two sperm or an abnormal egg with two sets of genetic material, resulting in some fetal tissue.

2. Invasive Mole: This type of GTD occurs when cells from a molar pregnancy invade the uterine wall and surrounding tissues. It can also spread to other parts of the body, such as the lungs or brain.

3. Choriocarcinoma: This is a rare form of GTD that develops from trophoblastic cells and forms a malignant tumor. It can grow rapidly and spread quickly to other organs.

4. Placental Site Trophoblastic Tumor (PSTT): This is an even rarer type of GTD that forms in the tissue where the placenta attaches to the uterus. PSTTs are usually slow-growing but can sometimes spread to other parts of the body.

5. Epithelioid Trophoblastic Tumor (ETT): This is a very rare type of GTD that forms in the tissue where the placenta attaches to the uterus. ETTs are usually slow-growing and have a good prognosis.

It's important to note that most molar pregnancies do not develop into more serious forms of GTD, but regular follow-up care is necessary to monitor for any signs of progression. Treatment options depend on the type and stage of GTD and may include surgery, chemotherapy, or radiation therapy.

Chorionic Gonadotropin, beta Subunit, Human (β-hCG) is a protein that is produced by the placenta during pregnancy. It is a component of human chorionic gonadotropin (hCG), which is a hormone that is composed of two subunits: alpha and beta. The β-hCG subunit is specific to hCG and is not found in other hormones, making it a useful marker for pregnancy and certain medical conditions.

During early pregnancy, the levels of β-hCG increase rapidly and can be detected in the blood and urine. This has led to the development of pregnancy tests that detect the presence of β-hCG to confirm pregnancy. In addition to its role in pregnancy, β-hCG is also used as a tumor marker for certain types of cancer, such as germ cell tumors and choriocarcinoma.

Elevated levels of β-hCG may indicate the presence of a molar pregnancy, a condition in which a fertilized egg implants in the uterus but does not develop properly. In some cases, a molar pregnancy can become cancerous and require treatment. Therefore, monitoring β-hCG levels during pregnancy is important for detecting any potential complications.

Chorionic Gonadotropin (hCG) is a hormone that is produced during pregnancy. It is produced by the placenta after implantation of the fertilized egg in the uterus. The main function of hCG is to prevent the disintegration of the corpus luteum, which is a temporary endocrine structure that forms in the ovary after ovulation and produces progesterone during early pregnancy. Progesterone is essential for maintaining the lining of the uterus and supporting the pregnancy.

hCG can be detected in the blood or urine as early as 10 days after conception, and its levels continue to rise throughout the first trimester of pregnancy. In addition to its role in maintaining pregnancy, hCG is also used as a clinical marker for pregnancy and to monitor certain medical conditions such as gestational trophoblastic diseases.

The placenta is an organ that develops in the uterus during pregnancy and provides oxygen and nutrients to the growing baby through the umbilical cord. It also removes waste products from the baby's blood. The placenta attaches to the wall of the uterus, and the baby's side of the placenta contains many tiny blood vessels that connect to the baby's circulatory system. This allows for the exchange of oxygen, nutrients, and waste between the mother's and baby's blood. After the baby is born, the placenta is usually expelled from the uterus in a process called afterbirth.

Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.

Chorionic villi are finger-like projections of the chorion, which is the outermost extraembryonic membrane in a developing embryo. These structures are composed of both fetal and maternal tissues and play a crucial role in the early stages of pregnancy by providing a site for exchange of nutrients and waste products between the mother and the developing fetus.

Chorionic villi contain fetal blood vessels that are surrounded by stromal cells, trophoblasts, and connective tissue. They are formed during the process of implantation, when the fertilized egg attaches to the uterine wall. The chorionic villi continue to grow and multiply as the placenta develops, eventually forming a highly vascular and specialized organ that supports fetal growth and development throughout pregnancy.

One important function of chorionic villi is to serve as the site for the production of human chorionic gonadotropin (hCG), a hormone that can be detected in the mother's blood and urine during early pregnancy. This hormone plays a critical role in maintaining pregnancy by signaling the corpus luteum to continue producing progesterone, which helps to prevent menstruation and support fetal growth.

Abnormalities in chorionic villi can lead to various pregnancy complications, such as miscarriage, stillbirth, or intrauterine growth restriction. For this reason, chorionic villus sampling (CVS) is a diagnostic procedure that may be performed during early pregnancy to obtain fetal cells for genetic testing and diagnosis of chromosomal abnormalities or other genetic disorders.

Glycoprotein hormones are a group of hormones that share a similar structure and are made up of four subunits: two identical alpha subunits and two distinct beta subunits. The alpha subunit is common to all glycoprotein hormones, including thyroid-stimulating hormone (TSH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), and human chorionic gonadotropin (hCG).

The alpha subunit of glycoprotein hormones is a 92 amino acid polypeptide chain that contains several disulfide bonds, which help to stabilize its structure. It is heavily glycosylated, meaning that it contains many carbohydrate groups attached to the protein backbone. The alpha subunit plays an important role in the biological activity of the hormone by interacting with a specific receptor on the target cell surface.

The alpha subunit contains several regions that are important for its function, including a signal peptide, a variable region, and a conserved region. The signal peptide is a short sequence of amino acids at the N-terminus of the protein that directs it to the endoplasmic reticulum for processing and secretion. The variable region contains several amino acid residues that differ between different glycoprotein hormones, while the conserved region contains amino acids that are identical or very similar in all glycoprotein hormones.

Together with the beta subunit, the alpha subunit forms the functional hormone molecule. The beta subunit determines the specificity of the hormone for its target cells and regulates its biological activity.

'Tumor cells, cultured' refers to the process of removing cancerous cells from a tumor and growing them in controlled laboratory conditions. This is typically done by isolating the tumor cells from a patient's tissue sample, then placing them in a nutrient-rich environment that promotes their growth and multiplication.

The resulting cultured tumor cells can be used for various research purposes, including the study of cancer biology, drug development, and toxicity testing. They provide a valuable tool for researchers to better understand the behavior and characteristics of cancer cells outside of the human body, which can lead to the development of more effective cancer treatments.

It is important to note that cultured tumor cells may not always behave exactly the same way as they do in the human body, so findings from cell culture studies must be validated through further research, such as animal models or clinical trials.

Testicular neoplasms are abnormal growths or tumors in the testicle that can be benign (non-cancerous) or malignant (cancerous). They are a type of genitourinary cancer, which affects the reproductive and urinary systems. Testicular neoplasms can occur in men of any age but are most commonly found in young adults between the ages of 15 and 40.

Testicular neoplasms can be classified into two main categories: germ cell tumors and non-germ cell tumors. Germ cell tumors, which arise from the cells that give rise to sperm, are further divided into seminomas and non-seminomas. Seminomas are typically slow-growing and have a good prognosis, while non-seminomas tend to grow more quickly and can spread to other parts of the body.

Non-germ cell tumors are less common than germ cell tumors and include Leydig cell tumors, Sertoli cell tumors, and lymphomas. These tumors can have a variety of clinical behaviors, ranging from benign to malignant.

Testicular neoplasms often present as a painless mass or swelling in the testicle. Other symptoms may include a feeling of heaviness or discomfort in the scrotum, a dull ache in the lower abdomen or groin, and breast enlargement (gynecomastia).

Diagnosis typically involves a physical examination, imaging studies such as ultrasound or CT scan, and blood tests to detect tumor markers. Treatment options depend on the type and stage of the neoplasm but may include surgery, radiation therapy, chemotherapy, or a combination of these modalities. Regular self-examinations of the testicles are recommended for early detection and improved outcomes.

  • Gestational choriocarcinoma is a form of gestational trophoblastic neoplasia, which is a type of gestational trophoblastic disease (GTD), that can occur during pregnancy. (wikipedia.org)
  • Gestational trophoblast neoplasia (GTN) is a malignant type of gestational trophoblastic disease, a condition caused by pathological proliferation of trophoblasts. (greek.doctor)
  • Choriocarcinoma is a highly malignant gestational trophoblast neoplasia. (greek.doctor)
  • Gestational trophoblastic neoplasia (GTN) is a collective term for gestational trophoblastic diseases that invade locally or metastasize. (medscape.com)
  • 2. Gestational trophoblastic neoplasia after human chorionic gonadotropin normalization in a retrospective cohort of 7761 patients in France. (nih.gov)
  • 9. The role of hysterotomy in the management of gestational trophoblastic neoplasia. (nih.gov)
  • These tumors include postmolar gestational trophoblastic neoplasia (gestational trophoblastic neoplasia that develops after a molar pregnancy), placental-site trophoblastic tumor, epithelioid trophoblastic tumor, choriocarcinoma, and invasive mole. (msdmanuals.com)
  • After a complete hydatidiform mole, approximately 15 to 20% of patients are treated for gestational trophoblastic neoplasia. (msdmanuals.com)
  • four kinds of gestational trophoblastic neoplasia (GTN) exist, most of which are cancerous. (cumedicine.us)
  • Gestational trophoblastic disease may also be called gestational trophoblastic tumors or gestational trophoblastic neoplasia (neoplasia means new growth). (cumedicine.us)
  • Some molar pregnancies result in an invasive mole or gestational trophoblastic neoplasia (or persistent GTD) - a rare, but treatable, form of cancer or choriocarcinoma. (pregnancyresource.org)
  • This leaflet is to help you understand what Gestational Trophoblastic Neoplasia is, what tests you need and the implication of being diagnosed for you, your baby, and your family. (isuog.org)
  • Gestational Trophoblastic Neoplasia (GTN) is a malignant tumor originating from placental tissue from a previous pregnancy. (isuog.org)
  • 1) GTD: Gestational trophoblastic disease, (2) GTT: Gestational trophoblastic tumor, (3) GTN: Gestational trophoblastic neoplasia, (4) PSTT: Placental site trophoblastic tumor. (wjols.com)
  • The role of adjuvant surgery in the management of gestational trophoblastic neoplasia. (wjols.com)
  • Value of hysteroscopy and laparoscopy in differential diagnosis of gestational trophoblastic neoplasia. (wjols.com)
  • In a retrospective cohort study reported in The Lancet Oncology , Braga et al identified metastatic disease, choriocarcinoma histology, and higher pretreatment human chorionic gonadotropin concentration as independent predictors of resistance to single-agent chemotherapy in women with low-risk gestational trophoblastic neoplasia with International Federation of Gynecology and Obstetrics (FIGO) risk scores of 5 or 6. (ascopost.com)
  • The study involved data from 431 eligible patients with a FIGO score of 5 or 6 (identified from among 5,020 with low-risk gestational trophoblastic neoplasia) treated at three reference centers in the United Kingdom, Brazil, and the United States between January 1964 and December 2018. (ascopost.com)
  • About one half of all women with a choriocarcinoma had a hydatidiform mole, or molar pregnancy. (medlineplus.gov)
  • CT and MRI are recommended if the patient has hydatidiform mole with metastasis to the lungs, choriocarcinoma, or persistent hydatidiform mole. (medscape.com)
  • 1. Genetically Related Choriocarcinoma Developing 5 Yr After a Complete Hydatidiform Mole and Simulating a Cornual Ectopic Pregnancy. (nih.gov)
  • 3. Multiple metastatic gestational trophoblastic disease after a twin pregnancy with complete hydatidiform mole and coexisting fetus, following assisted reproductive technology: Case report and literature review. (nih.gov)
  • 5. FIGO Stage III Metastatic Gestational Choriocarcinoma Developed From an Antecedent Partial Hydatidiform Molar Pregnancy Bearing a Numerical Chromosomal Aberration 68, XX: A Case Report and Literature Review. (nih.gov)
  • 6. Choriocarcinoma following ovarian hydatidiform mole: a case report. (nih.gov)
  • 15. Term delivery of a complete hydatidiform mole with a coexisting living fetus followed by successful treatment of maternal metastatic gestational trophoblastic disease. (nih.gov)
  • Choriocarcinoma develops after 2 to 3% of hydatidiform moles, more commonly after a complete than a partial mole. (msdmanuals.com)
  • A molar pregnancy (or hydatidiform mole) is a gestational trophoblastic disease. (pregnancyresource.org)
  • No consistent temporal trends in rates of either hydatidiform mole or choriocarcinoma are evident. (qxmd.com)
  • Age, ethnicity, a history of hydatidiform mole or fetal wastage, and ABO blood group interactions appear to be important risk factors for choriocarcinoma. (qxmd.com)
  • Antineoplastic chemotherapy: Gestational choriocarcinoma, chorioadenoma destruens, hydatidiform mole. (azurewebsites.net)
  • It includes hydatidiform mole, invasive mole, choriocarcinoma and placental site trophoblastic tumor. (unime.it)
  • The aim was to standardize diagnostic procedures and the management of gestational and non-gestational trophoblastic disease in accordance with the principles of evidence-based medicine, drawing on the current literature and the experience of the colleagues involved in compiling the guideline. (thieme-connect.de)
  • Testing for the beta subunit of human chorionic gonadotropin (β-hCG) is an integral part of the diagnosis and management of gestational trophoblastic disease. (aafp.org)
  • The aim of this study is to evaluate the role of minimal access surgical procedures like laparoscopy, hysteroscopy and robotic surgery in the management of gestational trophoblastic tumors. (wjols.com)
  • Place of surgery in the management of gestational trophoblastic tumours. (wjols.com)
  • Gestational choriocarcinoma can happen during and after any type of pregnancy event, though risk of the disease is higher in and after complete or partial molar pregnancies. (wikipedia.org)
  • Those with gestational choriocarcinoma may experience abnormal vaginal bleeding, abdominal pain, and have high levels of human chorionic gonadotropin (hCG), in addition to history of molar pregnancy or other metastatic cancer. (wikipedia.org)
  • Approximately 50% of those with gestational choriocarcinoma have experienced molar pregnancy, approximately 25% developed the disease after a regular, term pregnancy, and other situations have included history of ectopic pregnancy, where the pregnancy does not occur in the uterus. (wikipedia.org)
  • When my molar pregnancy disease progressed to aggressive malignant cancer choriocarcinoma, my anxiety was at its highest. (choriocarcinomamolarpregnancyawareness.com)
  • others are invasive mole (chorioadenoma destruens), choriocarcinoma, placental site trophoblastic tumor (PSTT), and epithelioid trophoblastic tumor (ETT). (medscape.com)
  • Gestational trophoblastic neoplasms (GTN) are a group of neoplasms from fetal trophoblastic cells including choriocarcinoma (CC), epithelioid trophoblastic tumors (ETT), and placental site trophoblastic tumors (PSTT) [ 1 ]. (hindawi.com)
  • Yes, there are different subtypes of GTN: invasive mole, choriocarcinoma, placental site trophoblastic tumor (PSTT) and epithelioid trophoblastic tumor (ETT). (isuog.org)
  • It's sometimes called just malignant gestational trophoblastic disease. (greek.doctor)
  • Gestational trophoblastic disease includes a spectrum of proliferative disorders ranging from nonneoplastic hydatiform moles to malignant neoplastic disorders. (msdmanuals.com)
  • Gestational trophoblastic neoplasias are malignant placental tumors. (msdmanuals.com)
  • A highly malignant CHORIOCARCINOMA derived from the non-placental origin such as the totipotent cells in the TESTIS , the OVARY , and the PINEAL GLAND . (nih.gov)
  • Choriocarcinoma is a malignant form of GTN that forms either from hydatidliform moles, miscarriage or ectopic pregnancy. (cumedicine.us)
  • The invasion may be controlled, as in implantation of pregnancy and complete/partial mole, or malignant, as in the invasive gestational trophoblastic diseases, choriocarcinoma and invasive mole. (medscape.com)
  • Depending on the risk of gestational trophoblastic disease (GTD) development, such as in certain people with mole pregnancies, chemotherapy has been used in a preventative manner in the past. (wikipedia.org)
  • Treatment of invasive mole is the same as for choriocarcinoma. (greek.doctor)
  • A comparative study of the results of therapy in patients with invasive mole and with choriocarcinoma. (nih.gov)
  • Metastases to the lung and brain usually occur in the mother, but metastatic choriocarcinoma in the fetus or neonates does occur. (medscape.com)
  • 16. Difficulties in the management of patients with metastatic choriocarcinoma. (nih.gov)
  • 0001), a higher prevalence of choriocarcinoma histology ( P = .0007), and a higher prevalence of metastatic choriocarcinoma ( P = .0022). (ascopost.com)
  • Choriocarcinoma is a type of gestational trophoblastic disease . (medlineplus.gov)
  • Elevated or rising human chorionic gonadotropin can be a sign of gestational choriocarcinoma, though it is also used as a biomarker in other types of gestational trophoblastic diseases (GTD). (wikipedia.org)
  • 10. Uterine choriocarcinoma accompanied by an extremely high human chorionic gonadotropin level and thyrotoxicosis. (nih.gov)
  • Primary multiagent chemotherapy should only be given to patients with metastatic disease and choriocarcinoma, regardless of pretreatment human chorionic gonadotropin concentration, or to those defined by our new predictors. (ascopost.com)
  • In patients without metastatic disease or choriocarcinoma, pretreatment human chorionic gonadotropin concentration of ≥ 411,000 IU/L was associated with a positive predictive value for resistance to single-agent therapy of 0.8. (ascopost.com)
  • A positive predictive value of 0.8 was also found for a pretreatment human chorionic gonadotropin concentration of ≥ 149, 000 IU/L in patients with either metastatic disease or choriocarcinoma. (ascopost.com)
  • 20. Treatment and prognosis of post term choriocarcinoma in The Netherlands. (nih.gov)
  • It is useful not only for diagnosis but also for monitoring disease progression, treatment response, and potential of recurring gestational choriocarcinoma. (wikipedia.org)
  • Due to the potential fatal outcome of placental choriocarcinoma, careful evaluation of both mother and infant after the diagnosis is made is important. (medscape.com)
  • Early diagnosis of choriocarcinoma can improve the outcome. (medlineplus.gov)
  • These can range from traumas suffered by the mother, such as those from car accidents or falls ( 7,8) , to obstetrical procedures (such as antepartum umbilical cord blood sampling, external cephalic version, amniocentesis or chorionic villus biopsy) or obstetrical complications (placental abruption, placenta praevia , vasa praevia , choriocarcinoma, fetal death). (medichub.ro)
  • We present a complicated case of recurrence of gestational trophoblastic neoplasms (GTN), mixed ETT and choriocarcinoma at an abdominal cesarean scar. (hindawi.com)
  • Gestational trophoblastic disease can occur during or after an intrauterine or ectopic pregnancy. (msdmanuals.com)
  • David Gestational choriocarcinoma arising from a cornual ectopic pregnancy: A case report. (wjols.com)
  • Choriocarcinoma is a rare cancer that occurs as an abnormal pregnancy. (medlineplus.gov)
  • Gestational trophoblastic disease, any abnormal proliferation of the trophoblasts , including choriocarcinoma, a highly invasive cancer. (bionity.com)
  • Gestational trophoblastic disease (GTD) is a group of diseases in which abnormal growths of tissue or tumors occur in the uterus, specifically in the layer of cells surrounding an embryo called the trophoblast that joins the sperm and the egg. (cumedicine.us)
  • Gestational trophoblastic disease (GTD) is a collection of abnormal cell growths and tumors within the cells of a woman's uterus. (cumedicine.us)
  • Vincristine and vinblastine combined with chemotherapy, according to the National Tropical Botanical Garden, have provided: 80 percent remission on Hodgkin's disease, 99 percent remission in acute lymphocytic leukemia, 80 percent remission is Wilm's tumors and 70 percent remission in gestational choriocarcinoma. (gardenguides.com)
  • OBJECTIVE: Our purpose was to evaluate the efficacy and toxicity of single-agent chemotherapy and to identify risk factors associated with chemotherapy resistance in the treatment of low-risk metastatic gestational trophoblastic tumors. (northwestern.edu)
  • STUDY DESIGN: We reviewed the records of all patients with gestational trophoblastic tumors treated with single-agent chemotherapy at the John I. Brewer Trophoblastic Disease Center of Northwestern University between 1962 and 1992. (northwestern.edu)
  • CONCLUSION: In this large series of patients with low-risk metastatic gestational trophoblastic tumors, sequential single-agent chemotherapy with methotrexate and actinomycin D provided safe and extremely effective treatment. (northwestern.edu)
  • Gestational and nongestational trophoblasts are by far the most common sources of hCG, but a small amount of the hormone may also be produced by the pituitary gland and nontrophoblastic malignancies. (medscape.com)
  • Infantile choriocarcinoma of the liver: This is a very rare tumor that starts in the placenta and spreads to the fetus . (vicc.org)
  • Embryonic germ cell tumors include teratoma , and extraembryonic germ cell tumors include Choriocarcinoma and Yolk sac tumor . (wikidoc.org)
  • This tumor consisted of typical morphologic and immunophenotypic features of ETT and choriocarcinoma. (hindawi.com)
  • 08 hCG levels can indicate the gestational age of the fetus. (facts.net)
  • The level of hCG in a pregnant woman's blood can provide an estimate of the gestational age of the fetus. (facts.net)
  • On ultrasound, the uterus is enlarged compared to the gestational age. (greek.doctor)
  • Choriocarcinoma is a fast-growing cancer that occurs in a woman's uterus (womb). (medlineplus.gov)
  • Choriocarcinomas spread from the muscle layer of the uterus to nearby blood vessels and often beyond, to the brain, lungs, kidneys and vagina. (cumedicine.us)
  • A gestational choriocarcinoma of the uterus with concurrent metastasis and an atraumatic rupture of the spleen is rare disease and has been rarely reported in African women. (medtextpublications.com)
  • Choriocarcinoma and the very rare PSTT and ETT can follow any type of pregnancy. (isuog.org)
  • The main difference between invasive moles and choriocarcinoma is that there is no villous pattern in choriocarcinoma. (greek.doctor)
  • Gestational trophoblastic disease is proliferation of trophoblastic tissue in pregnant or recently pregnant women. (msdmanuals.com)
  • General references Gestational trophoblastic disease is proliferation of trophoblastic tissue in pregnant or recently pregnant women. (msdmanuals.com)
  • If the choriocarcinoma has metastasized to the lungs, one of the most common organs of metastasis, then symptoms may include abnormally quick breathing, coughing, and chest pain. (wikipedia.org)
  • Chest x-rays may also be used to see if gestational choriocarcinoma has potentially spread to the lungs. (wikipedia.org)
  • Gestational choriocarcinoma occurs in 1 in 40,000 pregnancies. (medscape.com)
  • Laparoscopic hysterectomy for persistent gestational trophoblastic noeplasia. (wjols.com)
  • Vaginal bleeding is a common symptom of gestational choriocarcinoma. (wikipedia.org)
  • A total of 92 patients with low-risk metastatic gestational trophoblastic tumors by National Cancer Institute criteria were identified. (northwestern.edu)
  • En 11 annees (1er janvier 1998-31 decembre 2008) 9946 patientes ont ete operes dans notre servie dont 29 pour le cancer de l'ovaire soit 0;29. (bvsalud.org)
  • Uterine enlargement as seen in an ultrasound can be a presenting sign of gestational choriocarcinoma. (wikipedia.org)
  • The results of the technique were beneficial in all cases, except one case of cervical pregnancy complicated with choriocarcinoma and another case with recurrent perimenopause dysfunctional uterine bleeding in a case with multiple severe comorbid illness. (longdom.org)
  • Recurrent gestational trophoblastic disease. (wjols.com)
  • Epidemiology of gestational trophoblastic disease. (qxmd.com)
  • The epidemiology of gestational trophoblastic disease is not well understood. (qxmd.com)
  • Choriocarcinoma & similar trophoblastic diseases 15-30 mg daily for 5 days. (azurewebsites.net)
  • A review of the management of hysterectomy of 25 cases of gestational trophoblastic tumours from March 1993 to january 2006. (wjols.com)
  • Maternal choriocarcinoma is usually diagnosed in symptomatic patients with metastases. (medscape.com)
  • A choriocarcinoma may come back within a few months to 3 years after treatment. (medlineplus.gov)
  • Gestational trophoblastic disease treatment (PDQ) - health professional version. (medlineplus.gov)
  • Fertility-Sparing Treatment in Gestational Choriocarcinoma: Evaluating Oncological and Obstetrical Outcomes. (medscimonit.com)
  • 14. [Characteristics and treatment of choriocarcinoma and related trophoblastic tumors in women]. (nih.gov)
  • See the PDQ summary on Gestational Trophoblastic Disease Treatment for more information on the treatment of choriocarcinoma for the mother of the child. (vicc.org)
  • Treatment of gestational trophoblastic tumors. (nih.gov)
  • Treatment of choriocarcinoma. (nih.gov)
  • Recent trends in treatment of choriocarcinoma. (nih.gov)
  • For his outstanding contribution to the successful chemotherapeutic treatment of gestational choriocarinoma. (nih.gov)
  • Of all forms of gestational choriocarcinoma, placental choriocarcinoma is the most rare and is usually diagnosed in symptomatic patients with metastases. (medscape.com)
  • Choriocarcinomas may also occur after an early pregnancy that does not continue (miscarriage). (medlineplus.gov)
  • Elevations of hCG can also occur in multiple pregnancies, singleton pregnancies in which the gestational age has been overestimated, triploidy, fetal loss, and hydrops fetalis . (medscape.com)
  • The prognosis of choriocarcinoma has improved since the introduction of chemotherapeutic drugs. (greek.doctor)
  • The Pregnancy Test (Yes or No) includes hCG with Gestational Table. (anylabtestnow.com)
  • Il s'agitd'une étude rétrospective et descriptive portant sur tous les cancers gynécologiques reçus en oncologie entre le 1erJanvier 2016 et le 31 Décembre 2021. (bvsalud.org)

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