The Silent Invader : a Rare Case of Invasive Mole

Authors

  • Shriraj Katakdhond
  • Radhika Ashok Dhedia
  • Ramyapriya Pojala
  • Shivani Patel
  • Shrestha Saha

Keywords:

gestational trophoblastic disease, Invasive mole, gestational trophoblastic neoplasm, β-hCG, molar pregnancy, hysterectomy

Abstract

Invasive mole is a highly vascular subset of gestational trophoblastic disease. We report a case of Invasive Mole which presented as abnormal intermenstrual uterine bleeding in a middle-aged female. Based on clinical, radiological, and lab findings diagnosis of Invasive Mole was made. Despite adequate medical management symptoms persisted hence Total abdominal hysterectomy with Bilateral salpingectomy was done. In view of young age of patient both ovaries were preserved. Post operatively β-hCG levels were monitored till 6 months after 2 consecutive undetectable value

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Ngan S, Seckl MJ. Gestational trophoblastic neoplasia management: an update. Curr Opin Oncol. 2007;19(5):486-491. doi:10.1097/CCO.0b013e3282dc94e5

Brinton LA, Bracken MB, Connelly RR. Choriocarcinoma incidence in the United States. Am J Epidemiol. 1986;123(6):1094-1100. doi:10.1093/oxfordjournals.aje.a114337

Ngan HY, Bender H, Benedet JL, et al. Gestational trophoblastic neoplasia, FIGO 2000 staging and classification [published correction appears in Int J Gynaecol Obstet. 2021 Dec;155(3):563. doi: 10.1002/ijgo.13970]. Int J Gynaecol Obstet. 2003;83 Suppl 1:175-177. doi:10.1016/s0020-7292(03)90120-2

Palmer JR. Advances in the epidemiology of gestational trophoblastic disease. J Reprod Med 1994;39:155–62.

Prameela Mohsina Iffath S. Unusual presentation of molar pregnancy – a case report. J Evol Med Dent Sci 2014;8:2073–5.http://dx.doi.org/10.14260/jemds/2014/2105.

El-agwany AS. Uterine intramural persistent mole: a case report following molar pregnancy evacuation with arteriovenous malformation. Egypt J Radiol Nucl Med 2014;45(4):1291–4.

Maeda K, Kurjak A, Varga G, Honemeyer U. Trophoblasticdiseases. Donald School J Ultrasound Obstet Gynecol 2012;6:27–42.

Seckl MJ, Sebire NJ, Berkowitz RS. Gestational trophoblastic disease. Lancet 2010;376:717–29.

Timmerman D, Wauters J, Van Calenbergh S, et al. Color Doppler imaging is a valuable tool for the diagnosis and management of uterine vascular malformations. Ultrasound Obstet Gynecol 2003;21:570–7

Downloads

Published

2025-05-07

How to Cite

1.
Katakdhond S, Dhedia RA, Pojala R, Patel S, Saha S. The Silent Invader : a Rare Case of Invasive Mole. J Neonatal Surg [Internet]. 2025May7 [cited 2025Nov.29];14(21S):463-6. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/5318