Hyditidorm Mole

Question 1

What are the 2 types of moles ?

Answer 1

• complete
• partial

Question 2

If the mole turns invasive what will happen ?

Answer 2

1) it will infiltrate the myometrium
2) it will Hematogenic spread lead to metastasis to the brain lungs liver

Question 3

What are the risk factors for hydatidiform mole ?

Answer 3

History of molar
History of miscarriage
Age less or is 15
Age more or is 35

Question 4

What are the features of complete mole ?

Answer 4

1) doesn’t contain any fetal parts
2) fertilization of embryo egg with sperm
3) karyotype 46XX , 46 XY

Question 5

What are the features of partial mole ?

Answer 5

1) Contain fetal parts
2) fertilization of egg contain haploid set of chromosome with 2 sperms
3)karyotype 69xxx,69xxy,69xyy

Question 6

What are the clinical features of a complete mole ?

Answer 6

1) vaginal bleeding 1st trimester
2) uterus is greater than gestational age
3) pelvic pressure an pain
4) passage of vesicles

Question 7

What is the clinical features of complete mole due to high B-HCG .

Answer 7

1) preeclampsia
2) hyperemsis gravidarm
3) ovarian theca lutien cysts
4) hyperthyroidism: increase in HCG , the alpha subunits of HCG structurally resemble TSH

Question 8

What are the symptoms of the partial mole ?

Answer 8

• less severe
• vaginal bleeding
• pelvic tenderness

Question 9

What is shown in lab studies ?

Answer 9

Increase BHCG

Question 10

What are the complete mole diagnosis in transvaginal ultrasound?

Answer 10

• theca lutien cells
• snowstorm
• no amniotic fluid
• no heart tones

Question 11

What are the partial mole diagnosis in transvaginal ultrasound?

Answer 11

• fetal part may be visible
• heart tones
• amniotic fluid presents
• increase placental thickness

Question 12

When do we use chest x ray ?

Answer 12

Dyspnea
Chest pain

Question 13

What is the treatment ?

Answer 13

Uterine evacuation by dilation and suction curettage
Monitor B HCG
Methotrexate ( chemo )