Moles Flashcards
what are moles?
gestational trophoblastic disease.
which moles are malignant
invasive molar disease and choriocarcinoma
complete mole
NO fetal parts. Completely chromosomal and all spermal. normal fertilization process but with a broken egg, thus the egg DNA breaks down and the sperms double.
How do complete moles groqw
very fast.
what helps diagnose complete Mole
size-date discrepency, high b-hCG, hyperemesis gravidarum, hyperthyroid. grape-like mass protruding through cervix.
what tests and results for complete mole?
transvaginal ultrasound –snow storm pattern.
How to treat complete mole
suction curretage. and follow the HCG for a year while on oral contraception. If treatment effective HCG will go down to zero.
What is incomplete mole
arise from disperm fertilization. this causes abnormal genetic complement. It contains fetal parts, incmpletely chromosomal has 69 chromosomes, has egg parts.
what causes incomplete mole
good egg, bad fertilization (two sperm).
treatment for incomplete mole
same as complete.
choriocarcinoma?
malignant and caused by gestational contents. gestational trophoblastic neoplasm.
how does the patient present with chorio?
elevated b-HCG, similar to molar pregnancies.
when can chorio occur?
after miscarriage, molar pregnancies and normal pregnancies
what cause of chorio has the worst prognosis
after normal pregnancy, because thats not supposed to happen.
how to test for chorio
transvaginal ultrasound with biopsy or curettage.
