Soonchunhyang Med Sci.  2016 Dec;22(2):197-199. 10.0000/sms.2016.22.2.197.

A Case of Persistent Gestational Trophoblastic Disease after Complete Hydatidiform Mole

• Ryu A
• Jang SH

• KMID: 2387023
• DOI: http://doi.org/10.0000/sms.2016.22.2.197

Abstract

Gestational trophoblastic disease is an abnormal proliferations of trophoblastic tissue during pregnancy. Persistent gestational trophoblastic tumor develops in about 20% after evacuation of complete mole. Following evacuation of hydatidiform mole, the interpretation of serial serum human chorionic gonadotropin (hCG) regression patterns is important in monitoring the course of the disease. Because it is the most reliable and sensitive method for the early detection of gestational trophoblastic disease. We describe an uncommon case of complete hydatidiform mole in a 48-year-old woman, who has presented to us with complaints of bleeding. She experienced after the evacuation of a complete mole and no decreased in hCG levels over four consecutive serum hCG measurements. The patient underwent hysterectomy due to leiomyoma. Finally, pathologic diagnosis was confirmed persistent gestational trophoblastic disease.

Keyword

Hydatidiform mole; Gestational trophoblastic disease

MeSH Terms

Aged
Amyotrophic Lateral Sclerosis*
Anesthesia
Anesthesia, Intravenous*
Chorionic Gonadotropin
Diagnosis
Female
Gestational Trophoblastic Disease*
Hemorrhage
Humans
Hydatidiform Mole*
Hysterectomy
Leiomyoma
Methods
Middle Aged
Muscle Relaxation*
Pregnancy
Propofol
Trophoblastic Neoplasms
Trophoblasts
Chorionic Gonadotropin
Propofol