Malignant trophoblastic disease following a twin pregnancy consisting of a complete hydatiform mole and a normal fetus and placenta. A case report

Eur J Gynaecol Oncol. 1999;20(2):105-7.

Abstract

We report an unusual pregnancy with a complete hydatiform mole coexisting with a normal fetus and placenta. This report stresses the importance of a correct diagnosis and the dilemmas the clinician is faced with when managing such a case. Malignant trophoblastic disease occurs in 55% of complete hydatiform mole and fetus. Two-thirds require combination chemotherapy.

Publication types

  • Case Reports

MeSH terms

  • Abortifacient Agents, Nonsteroidal / therapeutic use
  • Abortion, Induced / methods
  • Adult
  • Antimetabolites, Antineoplastic / therapeutic use
  • Diagnosis, Differential
  • Female
  • Humans
  • Hydatidiform Mole, Invasive / diagnosis*
  • Hydatidiform Mole, Invasive / drug therapy
  • Methotrexate / therapeutic use
  • Misoprostol / therapeutic use
  • Pregnancy
  • Pregnancy, Multiple*
  • Trophoblastic Neoplasms / diagnosis
  • Twins
  • Uterine Neoplasms / diagnosis*
  • Uterine Neoplasms / drug therapy

Substances

  • Abortifacient Agents, Nonsteroidal
  • Antimetabolites, Antineoplastic
  • Misoprostol
  • Methotrexate