Choriocarcinoma with Neonatal Anemia

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Abstract
To the Editor: Choriocarcinoma presenting as neonatal anemia has recently been described.1 During my medical-school clerkship I observed an additional case.The patient was a 23-year-old gravida II, para III, black woman. Term gestation was complicated by a 2+ test for protein in the urine, without hypertension, one week before delivery. The infant was delivered by spontaneous vertex labor. A "very large" and hard placenta was delivered intact, but the membranes were manually extracted "in pieces." The placenta was neither weighed nor examined pathologically. A routine chest roentgenogram four days post partum revealed a "snowball" lesion in the right . . .

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