1. Ectopic molar pregnancy mimicking choriocarcinoma
- Author
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Husain, Nuzhat, Mishra, Sheenu, and Pradeep, Yashodhra
- Subjects
Pregnant women -- Health aspects ,Choriocarcinoma -- Diagnosis ,Choriocarcinoma -- Care and treatment ,Choriocarcinoma -- Patient outcomes ,Choriocarcinoma -- Case studies ,Pregnancy, Ectopic -- Case studies ,Pregnancy, Ectopic -- Care and treatment ,Pregnancy, Ectopic -- Patient outcomes ,Pregnancy, Ectopic -- Diagnosis ,Health - Abstract
Molar ectopic pregnancies are rare events. We present an unusual case in which a patient with irregular uterine hemorrhage in the presence of increasing serum beta-human chorionic gonadotropin levels had no placental tissue in uterine curetting. Sonography revealed a complex hypo-echoic lesion in the right adnexa. A preoperative diagnosis of tubal choriocarcinoma was considered and hysterectomy done. On gross examination, tube was partially ruptured, adherent to the myometrium and showed a vesicular friable lesion in the lumen of the right fallopian tube. This was confirmed using stringent histological criteria of circumferential trophoblastic proliferation, hydrops, scalloped villi, and stromal karyohexis to be a hydatidiform mole. Postoperatively beta hCG levels fell to normal within 5 weeks. Keywords: ectopic tubal pregnancy molar trophoblastic, Introduction Partial or complete hydatidiform mole affects approximately 1 in 500 to 1000 pregnancies (1). The median maternal age is 31(range, 15-54) years and median gestational age is10 (range, 5-27) [...]
- Published
- 2009