<prompt> Hypeension, proteinuria, and pitting edema are noted in the second month of the first pregnancy in a 25-year-old woman. Pathogenesis of her presenting complaints is most closely associated with:-A benign tumor of the chorionic villiGestational diabetes mellitusPrimary endometrial cancerPrimary endometrial cancer  <response>: Preeclampsia hypeension, proteinuria, pitting edemA. in the first trimeater is most often secondary to a hydatidiform mole, which is a benign neoplasmof the chorionic villi. The uterus is frequently too large for gestational age, and fetal hea sounds are absent. It is too early in this patients pregnancy for gestational cancer. Choricarcinomas are malignant trophoblastic tumors that most commonly develop from a preexisting complete mole. A tumor arising from the myomerium leiomyomA. is not associated with preeclampsiA. 