Clinics in diagnostic imaging (9). Gestational trophoblastic disease with liver metastases

A 28-year-old Caucasian woman who had a missed abortion was subsequently found to have a partial hydatidiform mole. Despite twice repeated suction and evacuation of the uterus, her serum beta-human chorionic gonadotropin levels remained persistently elevated. Angiography demonstrated a large vascular uterine tumour and two small metastases in the liver. The patients was classified as having gestational trophoblastic disease stage IV. She responded well to multiagent chemotherapy. The role of imaging in the section of gestational trophoblastic disease is discussed.