The spectrum of GTD includes: Choriocarcinoma, placental site trophoblastic Risk factors for GTD are: tumor PSTT) and epithelioid trophoblastic; teenage pregnancies tumor (ETT) which are all malignant degenera; pregnancies in women above the age of 35 years tions of placental tissue. Very rarely no antecedent; history of molar pregnancy: the risk of recur-pregnancy can be identified. PSTT and ETT are rence is 1% after one molar pregnancy and rare and are not discussed further in this book.