Molar Pregnancy Flashcards
1
Q
what is it?
A
a tumour that grows inside the uterus like a pregnancy
2
Q
classification?
A
- benign
- complete hydatiform mole
- partial hydatiform mole
- malignant
- choriocarcinoma
3
Q
what is a complete hydatiform mole?
A
2 sperm cells fertilise an empty ovum
4
Q
what is a partial hydatiform mole?
A
2 sperm cells fertilise a normal ovum
5
Q
presentation?
A
- hyperemesis
- PV bleeding
- increased enlargement of uterus
6
Q
Ix?
A
- USS pelvis
- classic snowstorm appearance of endometrial cavity
- abnormally high bHCG
7
Q
Mx?
A
- surgical evacuation and send for histology
- continue to monitor bHCG levels after to ensure they return back to normal
- if they remain persistently high–> chemotherapy
