CCoPE
Date: 2006-10-30

Question:
At what point are you considered to have choriocarcinoma (cancer)? My third miscarriage was a complete mole. After D&C my hcg levels decreased over about 3 to 4 weeks. When they were really low they started increasing again. I had 2 rounds of methotrexate before it went away. I was very close to having to go to the oncologist. I know it doesn't really matter now, but was this considered cancer since it started coming back? I am really paranoid that it will come back. It has been 3 months since chemo treatment.

Answer:

Consult your physician. The following information should not replace the assessment and advice you have been receiving from your physician (cancer specialist, obstetrician, or any other healthcare provider). It is offered for your information only.

Choriocarcinoma means that the molar tissue has become invasive and malignant, and may have spread to other organs. It is really more of a pathologic diagnosis (meaning you have to test the tissue directly). Molar pregnancies that become persistent moles can become invasive and hence become choriocarcinoma, but not always. So technically, this is not officially cancer yet, but would still be classified as a persistent mole. A chest x-ray and head scan will likely have been ordered to look for spread.