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I looked over another pathologist's case and told em I was worried about choriocarcinoma in a molar pregnancy. He likewise was worried so we sent it to BWH because Crum is the man. Now he gets a report back that says no choriocarcinoma with pretty much no description. When I looked at it I thought (?) I saw avillous trophoblastic proliferation which was cytologically very atypical but I confess I am GTD noob in these matters....the ?s I am asking are:
1.) From the lack of a long flowing micro comment, Im thinking that fellows and residents arent writing his reports. I would expect some anal BWH resident to write in detail about necrotic villi, enlarge cytotrophoblasts with bizarre cytology etc. maybe blabbering on for at least 2 paragraphs.
2.) Am I confused about the micro criteria for a chorio arising in a mole? Someone elighten me. Ive read all the books, what is super secret tip here?
1.) From the lack of a long flowing micro comment, Im thinking that fellows and residents arent writing his reports. I would expect some anal BWH resident to write in detail about necrotic villi, enlarge cytotrophoblasts with bizarre cytology etc. maybe blabbering on for at least 2 paragraphs.
2.) Am I confused about the micro criteria for a chorio arising in a mole? Someone elighten me. Ive read all the books, what is super secret tip here?
