Clinical presentation

Clinical presentation of choriocarcinoma depends on metastatic sites as follows:

Central Nervous System:
A patient may present with confusion, convulsion, loss of consciousness, loss of memory headache.

Lungs:
Chest pain, chronic cough, chest tightness and difficulty in breathing.

Liver:
Epigastric pain, jaundice, palpable liver.

Vagina:
Per vaginal bleeding.

Kidneys:
Blood in urine, oliguria or even anuria

GIT:
Blood in stool, abdominal pain and distension