15/05/2019
Gestational trophoblastic disease is a spectrum of both benign and malignant gestational tumors, including hydatidiform mole (complete and partial), invasive mole, choriocarcinoma, placental site trophoblastic tumor (PSTT) and epithelioid trophoblastic tumor (ETT).The latter four entities are referred to as gestational trophoblastic
neoplasia (GTN). Common presenting symptoms include vaginal bleeding, large-for date uterine size and hyperemesis. The traditionally reported late complications
of molar pregnancy such as anemia, preeclampsia, hyperthyroidism, and respiratory distress are now rare.
Sharing ultrasound images for complete mole.
Uterus was mildly bulky with heterogenous echogenic contents in endometrial cavity with multiple small anechoic cystic areas within and no obvious internal vascularity. no obvious gestational sac/ fetal pole visualized. Endomyometrial interface is nearly intact. Bilateral ovaries are bulky and show simple cysts. Histopathology of abortus is mandatory and shows hydropic chorionic villi.
Clinicians please share follow up protocol and other pearls of wisdom.
