molar pregnancy Flashcards

1
Q

hydatidiform mole

A

type of tumour that grows like a pregnancy inside the uterus

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2
Q

complete mole

A

2 sperm cells fertilise an ovum that contains no genetic material

sperm combine genetic material and cells divide and grow into tumour - complete mole

no fetal material will form

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3
Q

partial mole

A

2 sperm cells fertilise a normal ovum at same time
new cell has 3 sets of chromosomes, and cells divide and multiply into a tumour - partial mole

some fetal material may form

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4
Q

features

A
more severe morning sickness
vaginal bleeding 
inc uterus enlargment
abnormally high hCG 
thyrotoxicosis
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5
Q

USS shows

A

snowstorm appearance of the pregnancy

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6
Q

confirming diagnosis

A

provisional diagnosis made by USS

confirmed by histology of mole after evactuation

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7
Q

Mx

A

uterine evacuation
POC sent for histology

hCG monitored until return to noramal

occasionaly mole can metastasise - systemic chemotherapy

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