Heterogenous presentation of chorioadenoma destruens.

Invasive mole also known as chorioadenoma destruens comprises about 15 % of all gestational trophoblastic neoplasia [1]. It is a trophoblastic tumor characterized by myometrial invasion by direct extension or through venous channels. The most common presenting symptom is vaginal bleeding (97 %) [2]. The diagnosis is usually suggested after a hydatidiform mole is removed and bhCG remains elevated and there is no evidence of metastasis. We had an opportunity to see four women with unusual presentations.