title: Treatment of metastatic invasive moles in two husband-side sisters-in-law. Case reports and review of literature.
abstract: OBJECTIVE
  The treatment of "high risk" persistent trophoblastic disease (PTD) consists of poly-chemotherapy. This policy probably will lead to overtreatment of some patients. Also, familiar molar pregnancies through the paternal line are unknown in the literature up till now.
  
  
  METHODS
  We describe two cases of "high risk" PTD in two husband-side sisters-in-law, in which poly-chemotherapy was stopped after histology became available and showed invasive metastatic mole.
  
  
  CONCLUSIONS
  It should be stressed that treatment decisions should be made based on the concept of "high" or "low" risk PTD, but if histology becomes available, chemotherapy might be less aggressive in cases of invasive mole. If invasive mole could be familiar through the paternal line remains unclear with the current knowledge of genetics in trophoblastic disease.
authors.affiliation: Department of Obstetrics and Gynecology, University Medical Center, Utrecht, The Netherlands.
authors.forename: M A
authors.initials: MA
authors.lastname: Van Eijkeren
authors.forename: E A
authors.initials: EA
authors.lastname: Sijmons
authors.forename: P O
authors.initials: PO
authors.lastname: Witteveen
authors.forename: M J
authors.initials: MJ
authors.lastname: Verhaar
authors.forename: D M
authors.initials: DM
authors.lastname: Sie-Go
authors.forename: A P
authors.initials: AP
authors.lastname: Heintz
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009362:Neoplasm Metastasis; D011247:Pregnancy; D014328:Trophoblastic Neoplasms / Q000188:drug therapy / Q000235:genetics* / Q000473:pathology; D014594:Uterine Neoplasms / Q000188:drug therapy / Q000235:genetics* / Q000473:pathology