molar pregnancy Flashcards
1
Q
hydatidiform mole
A
type of tumour that grows like a pregnancy inside the uterus
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
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
4
Q
features
A
more severe morning sickness vaginal bleeding inc uterus enlargment abnormally high hCG thyrotoxicosis
5
Q
USS shows
A
snowstorm appearance of the pregnancy
6
Q
confirming diagnosis
A
provisional diagnosis made by USS
confirmed by histology of mole after evactuation
7
Q
Mx
A
uterine evacuation
POC sent for histology
hCG monitored until return to noramal
occasionaly mole can metastasise - systemic chemotherapy
