TY - JOUR T1 - Intraplacental choriocarcinoma as an unexpected cause of intrauterine death at term JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 1337 LP - 1339 DO - 10.1111/j.1525-1438.2007.00987.x VL - 17 IS - 6 AU - H. T. Nagel AU - F. P. Vandenbussche AU - V. T. Smit AU - M. N. Wasser AU - A. A. Peters Y1 - 2007/10/01 UR - http://ijgc.bmj.com/content/17/6/1337.abstract N2 - Intraplacental choriocarcinoma is rare. It can cause fetal death at term by fetomaternal hemorrhage. We present a case of intraplacental choriocarcinoma. After a hydatidiform mole with persistence of throphoblastic disease, the patient delivered a stillborn baby at term. Massive fetomaternal hemorrhage was the unexpected cause of death. Choriocarcinoma was only diagnosed after pathologic revision of the placenta because of persistent high levels of serum hCG (human chorionic gonadotropin). Massive fetomaternal hemorrhage should alert the obstetrician and the pathologist to the possibility of choriocarcinoma arising from the placenta ER -