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Information Journal Paper

Title

UNUSUAL PRESENTATION OF INVASIVE MOLE: A CASE REPORT

Pages

  205-209

Abstract

 Background: INVASIVE MOLE is responsible for most cases of localized TROPHOBLASTIC NEOPLASIA/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank"> GESTATIONAL TROPHOBLASTIC NEOPLASIA. Gestational TROPHOBLASTic disease describes a number of gynecologic tumors that originate in TROPHOBLASTic layer including hydatidiform mole (complete or partial), INVASIVE MOLE, choriocarcinoma, placental site TROPHOBLASTic tumor and epitheloid TROPHOBLASTic tumor. INVASIVE MOLE may arise from any pregnancy event although in most cases is diagnosed after molar pregnancy. Overall cure rate in low risk patients is nearly 100% and in high-risk patient 90%. In rare cases, molar tissue traverses thickness of myometrium and leads to perforation and acute abdomen and INVASIVE MOLE infrequently metastasis. The best treatment option is chemotherapy (according to stage and score with single or multiple agent) and in patients that fertility is not the matter, hysterectomy can be done.Case Presentation: A 41 years old G3P2ab1 woman referred to Firouzgar hospital 2 months after curettage of molar pregnancy with vaginal bleeding and acute abdomen.In workup, HCG 224000mIU/ml and evidence of metastasis was detected.Chemotherapy due to stage 3 and score 9 and surgery due to acute abdomen was done. This case was reported for its rarity.Discussion: This case reported about ovarian metastasis and uterine rupture with acute abdomen and involvement of omentum in metastatic INVASIVE MOLE. Lack of surveillance led to extensive morbidity. Management of this patient was successful.In follow up, she was free of disease without sequel of any kind for five years now.

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  • Cite

    APA: Copy

    AMINIMOGHADDAM, SOHEILA, & MAGHSOUDNIA, ANDISHEH. (2017). UNUSUAL PRESENTATION OF INVASIVE MOLE: A CASE REPORT. JOURNAL OF REPRODUCTION AND INFERTILITY, 18(1), 205-209. SID. https://sid.ir/paper/695769/en

    Vancouver: Copy

    AMINIMOGHADDAM SOHEILA, MAGHSOUDNIA ANDISHEH. UNUSUAL PRESENTATION OF INVASIVE MOLE: A CASE REPORT. JOURNAL OF REPRODUCTION AND INFERTILITY[Internet]. 2017;18(1):205-209. Available from: https://sid.ir/paper/695769/en

    IEEE: Copy

    SOHEILA AMINIMOGHADDAM, and ANDISHEH MAGHSOUDNIA, “UNUSUAL PRESENTATION OF INVASIVE MOLE: A CASE REPORT,” JOURNAL OF REPRODUCTION AND INFERTILITY, vol. 18, no. 1, pp. 205–209, 2017, [Online]. Available: https://sid.ir/paper/695769/en

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