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Invasive mole and choriocarcinoma

What is invasive mole and choriocarcinoma?

Invasive mole and choriocarcinoma are both types of gestational trophoblastic disease. GTD can be cancerous or non cancerous (benign). Invasive mole and choriocarcinoma are cancerous types of GTD.

Invasive mole and choriocarcinoma are usually found in the . But they can spread to other areas of the body and might cause symptoms there.

Invasive mole

A molar pregnancy happens when the fertilisation of the egg by the sperm goes wrong. This leads to the growth of abnormal cells or clusters of water filled sacs inside the womb. Only about 1 in every 600 pregnancies in the UK is a molar pregnancy.

Usually any molar cells left after treatment will die off by themselves. Rarely they can keep growing and become cancerous. This is called an invasive mole or persistent trophoblastic disease (PTD).

Even a very small amount of molar tissue anywhere in the body can grow and cause problems. Like other cancers, an invasive mole can spread to other parts of the body. But it has a cure rate of nearly 100%.

The treatment for an invasive mole is usually ​​ .

Choriocarcinoma

A choriocarcinoma is a cancer that happens when cells that were part of a normal pregnancy or a molar pregnancy become cancerous. Chorio refers to the word chorion, which is the outer covering of the growing baby (foetus). Carcinoma means cancer in the epithelial cells which cover or line a body organ.

Choriocarcinoma is more common after a molar pregnancy. It can also happen after a full term pregnancy, miscarriage, ectopic pregnancy or abortion.

A choriocarcinoma can develop some months or even years after pregnancy. It can be difficult to diagnose because it is so rare. It can grow quickly and might cause symptoms within a short period of time.

Treatment for choriocarcinoma is usually chemotherapy. Or sometimes surgery. Women with a low risk score can usually be cured even if it has spread to other parts of the body.

Your doctor and specialist nurse will talk to you about the best treatment options for you. 

Read about symptoms of invasive mole and choriocarcinoma

Last reviewed: 08 Sept 2025

Next review due: 08 Sept 2028

Symptoms of invasive mole and choriocarcinoma

Some women may not have any symptoms. This is particularly the case for a woman with an invasive mole as these are usually picked up during follow up for a molar pregnancy.If there are symptoms, the main symptoms for an invasive mole or choriocarcinoma is vaginal bleeding.

Diagnosing invasive mole and choriocarcinoma

If you develop an invasive mole or choriocarcinoma it usually shows up on some tests before you notice any symptoms. Your specialist team will then ask you to go in to see them.

Risks and causes of invasive mole and choriocarcinoma

The main known risk factor for invasive mole and choriocarcinoma is a previous molar pregnancy.

Treatment for invasive mole and choriocarcinoma

The main treatment for invasive mole or choriocarcinoma is chemotherapy. But some women might be offered surgery.

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