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Hysterectomy in a malignant molar pregnancy and a healthy baby

  • M. Gojnic1,*,
  • V. Dugalic2
  • S. Vidakovic1
  • M. Papic3
  • K. Jeremic1
  • M. Pervulov1
  • S. Milicevic1

1lnstitute of Gynecology and Obstetrics, Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia and Montenegro

2Institute for Surgery, Clinical Center of Serbia, Belgrade, Serbia and Montenegro

3University Hospital "Narodni Front", Belgrade, Serbia and Montenegro

DOI: 10.12892/ejgo200505545 Vol.26,Issue 5,September 2005 pp.545-546

Published: 10 September 2005

*Corresponding Author(s): M. Gojnic E-mail:

Abstract

Hydatidiform mole is a degenerative chorion disturbance of unknown etiology. It is characterized by a permanent whitish enlargement of the chorionic villi with a grape-like appearance and poor vascularization. The symptoms of a molar pregnancy are nausea and vomiting which are present in more than one-third of the patients. Other symptoms include an enlarged uterus and vaginal bleeding. Our patient was a 19-year-old primipara with a twin pregnancy where one embryo was molar. Diagnosis was confirmed by beta-hCG levels.

Keywords

Molar pregnancy; Hysterectomy

Cite and Share

M. Gojnic,V. Dugalic,S. Vidakovic,M. Papic,K. Jeremic,M. Pervulov,S. Milicevic. Hysterectomy in a malignant molar pregnancy and a healthy baby. European Journal of Gynaecological Oncology. 2005. 26(5);545-546.

References

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[2] Walker D.J., Cietak K.A., Kennedy C.R.: "Hydatidiform mole with a coexisting fetus after ovulation induction". J. Assist. Report. Genet., 1994, 11, 107.

[3] Horn L.C., Robel R., Mehraein Y., Feber R., Bilek K.: "Simultaneous coexisting of hydat汕form mole and a live premature infant". Zentralbal. Gynecol., 1994, 116, 492.

[4] Chanchien C.C., End H.L., Chen W.J.: "Twin pregnancy with hydatidiform mole (46, XX) and coexisting fetus (46, XY)". J Formos. Med. Assoc., 1994, 93, 337.

[5] Ozumba B.C., Ofodile A.: "Twin pregnancy involving complete hydatidiform mole and partial mole after five years of amenorrhea". Eur. J. Obstet. Gynecol. Report. Biol., 1994, 53, 217.

[6] Hoshi K., Morimura Y., Azuma C.: "A case of quadruplet pregnancy containing mole and three fetuses". Am. J. Obstet. Gynecol., 1994, 170, 1372.

[7] Steller M.A., Genest Dr.: "Natural history of twin pregnancy with complete hydatidiform mole and coexisting fetus". Am. J. Obstet. Gynecol., 1994, 83, 35.

[8] Levavi H., Neri A.: "Hook effect in complete hydatidiforrn mole pregnancy". Obstet. Gynecol., 1993, 82 (suppl. 2), 720.

[9] Miller D., Jackson R.: "Complete hydatidiform mole coexisting with a twin live fetus - clinical course of four cases with complete cytogenetic analysis". Gynecol. Oncol., 1993, 50, 119.

[10] Suzuki M.: "Hydatidiform mole with a surviving coexisting fetus". Obstet. Gynecol., 1980, 36, 384.

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