Risks and causes of invasive mole and choriocarcinoma

A risk factor is anything that can increase your risk of developing a disease. Each condition has different risk factors.

Previous molar pregnancy

Having a previous molar pregnancy is the main known risk factor for:

  • invasive mole and
  • choriocarcinoma

Invasive mole and choriocarcinoma are very rare. The number of women who develop one of these conditions following a molar pregnancy is small.

A molar pregnancy occurs when the fertilisation of the egg by the sperm goes wrong. This leads to the growth of abnormal cells or clusters of water filled sacs inside the womb Open a glossary item. Usually any molar cells left after treatment will die off by themselves. But sometimes they will keep growing and become cancerous. This is called an invasive mole or persistent trophoblastic disease (PTD).

About 13 to 16 out of every 100 women (about 13 to 16%) who have had a complete molar pregnancy will go on to develop an invasive mole. For women who have had a partial molar pregnancy, the risk is only 1 in 100 women (1%).

Choriocarcinomas are extremely rare cancers. They are more likely to develop after a molar pregnancy. But they can also happen following a full term pregnancy, miscarriage, ectopic pregnancy or abortion.

Researchers aren’t completely sure what causes molar pregnancies. But we do know of some factors that increase a woman's risk of developing one.

  • Gestational Trophoblastic Disease (5th Edition)
    International Society for the Study of Trophoblastic Diseases, 2022 

  • Gestational Trophoblastic Disease: Complete versus Partial Hydatidiform Moles
    J Gonzalez and others
    Diseases, 2024. Volume 12, Issue 7, Page 159

  • Molar pregnancies

    Antonio Braga and others

    BMJ best practice- Last reviewed: 24 Jun 2025

  • Advances in Diagnostics and Management of Gestational Trophoblastic Disease
    N Lukinovic and others
    Radiological Oncology, 2022. Volume 56, Issue 4, Pages 430–439 

Last reviewed: 
04 Sep 2025
Next review due: 
04 Sep 2028

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