Trophoblastic Neoplasia and Molar Pregnancies Flashcards
This type of molar pregnancy is from one egg with no DNA fertilized by 1-2 sperm, has high risk of becoming malignant, there will be no fetal heart rate on US?
Complete
This type of molar pregnancy is abnormal tissue + a fetus, is an egg fertilized by 2 sperm, and usually results in spontaneous abortion?
Partial molar pregnancy
This molar pregnancy type has 46XX with all chromosome from dad?
Complete
This molar pregnancy has 69 XXX or 69 XYY, & the fetus is always malformed and not viable?
Partial
This type of molar pregnancy has a HIGH hCG?
Complete
This molar pregnancy has a slightly increased hCG & the fetus is seen on US?
Partial
What is the treatment for both types of molar pregnancies?
E&C now to reduce cancer risk
What is the follow up procedure for monitoring hCG after a molar pregnancy removal?
Monitor hCG for 3 weeks in a row
Then monitor monthly
What is the indication of a consistently high hCG after a E&C procedure is completed
cancer
How long should people wait to get pregnant after having a molar pregnancy?
1 year
What is the main risk for having a molar pregnancy?
being <20 y/o or >35y/o
What is an invasive mole?
A malignancy from a molar pregnancy
What are the 3 signs of an invasive mole?
- Persistent abnormal uterine bleeding
- boggy uterus
- Hyperemesis
If hGC is detectable 6 months post evacuation, what DX is likely
invasive mole
What is the diagnostic test for invasive mole and what does it show?
Ultra sound
Show high vascular flow