Recurrent partial hydatidiform mole

J Pak Med Assoc. 2011 Oct;61(10):1016-7.

Abstract

Hydatidiform moles are abnormal conceptions characterised by atypical hyperplastic trophoblasts and hydropic villi. Their incidence is approximately 1 in 1000 pregnancies. The recurrence risk of hydatidiform mole is approximately 1 in 60 in a subsequent pregnancy and 1 in 6.5 in the third pregnancy. In cases with recurrence, the majority of moles are of the same type as that in the preceding pregnancy. Here, we describe the case of a recurrent partial hydatidiform mole after an initial healthy pregnancy. Both pregnancies were evacuated by suction curettage, and the patient was followed by serial monitoring of beta-human chorionic gonadotropin levels. Recurrent molar pregnancy is not an indication for chemotherapy, and subsequent pregnancies do not have an increased risk for other obstetric complications.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Hydatidiform Mole / diagnosis*
  • Hydatidiform Mole / surgery
  • Pregnancy
  • Pregnancy Complications, Neoplastic / diagnosis*
  • Pregnancy Complications, Neoplastic / surgery
  • Recurrence
  • Uterine Neoplasms / diagnosis*
  • Uterine Neoplasms / surgery
  • Vacuum Curettage