Recurrent hydatidiform mole: a report of a patient with 7 consecutive moles.
A rare case of hydatidiform mole occurring 7 consecutive times in a Chinese woman is presented. She was first seen in 1979 at the age of 23 years, with a molar pregnancy and subsequently had 6 consecutive moles, the last being in July, 1986; at this visit the patient and her husband were very depressed, and convinced that a normal pregnancy was unlikely and requested a hysterectomy. They were warned earlier several times, of the possible long-term consequences of a recurrent mole and that their chance of having a normal baby was very remote. A total hysterectomy was performed at her last presentation as the patient requested one, instead of dilatation and curettage for a persistently high HCG and bulky uterus following suction evacuation. Histology revealed an invasive mole. The beta HCG level was less than 4IU/l by the end of September, 1986 and she is still being followed-up.
Thavarasah
A S
AS
Department of Obstetrics and Gynaecology, School of Medical Sciences, University Hospital, Bharu, Malaysia.
Kanagalingam
S
S
D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000175:diagnosis*; D007044:Hysterectomy; D011247:Pregnancy; D012008:Recurrence; D014594:Uterine Neoplasms / Q000175:diagnosis*