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An unexpected, unusual, bizarre illness in a woman of reproductive age should always be regarded as possibly due to choriocarcinoma. If the disease is diagnosed by biopsy of a metastasis, the pathology is suggested.
Presentation in the form of hemorrhage or cardiorespiratory disturbances is common.
It is still the only tumor generally accepted as curable after diffuse metastases have occurred. Herein lies the immediacy of the problem; i.e., a disease that is capable of rapid involvement of the body by metastases, causing typically severe complications such as intracranial hemorrhage and pulmonary emboli, can, even in this catastrophic, severely advanced stage, be completely reversible if diagnosed in time.
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