Natural history of an untreated presumed hydatidiform mole: a case report.
BACKGROUND
Hydatidiform moles (HMs) usually are evacuated by dilation and curettage soon after diagnosis. A small percentage of HMs later progress to choriocarcinomas.


METHODS
A 20-year-old woman presented with signs and symptoms of an HM. Through poor medical care, noncompliance and misunderstanding, she delayed dilation and curettage for 3 months, until after the condition regressed spontaneously.


CONCLUSIONS
HMs masquerading as miscarriages (or other pregnancy outcomes) may account for some rogue choriocarcinomas that do not appear to follow HMs.
Kratzer
Paul G
PG
Department of Women's Health, Camarena Health Center, Madera, California, USA. fhkratzer@sbcglobal.net
D000022:Abortion, Spontaneous; D000328:Adult; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000150:complications / Q000175:diagnosis*; D010349:Patient Compliance; D011247:Pregnancy; D014594:Uterine Neoplasms / Q000150:complications / Q000175:diagnosis*
D018997:Chorionic Gonadotropin, beta Subunit, Human