MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 25-year-old woman with a medical history of recent childbirth presented to gynecology department with metrorrhagia. The histological investigation of a curettage material revealed a pathologic growth, consisted of fibrin clots, chorion villi and decidual tissue, undergoing organization. What is the most likely diagnosis?
A
Placental polyp
B
Glandular hyperplasia of the endometrium
C
Hydatidiform mole
D
Choriocarcinoma
Explanation: 

Detailed explanation-1: -Hormonal factors. During the follicular phase of the menstrual cycle, estrogen production by ovarian granulosa cells causes the endometrium to proliferate and thicken. The major driver of decidualization is progesterone, which is produced by the corpus luteum of the ovary following ovulation.

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