Hydatidiform Mole

Hydatidiform Mole

Case of gross malformation of the trophoblast. The chorionic villi proliferate and become vesicles which looks like a bounch of English grape. Risk is higher in a woman who has had it before – (1 in 50) and under the age of 20 and above 40 years. There are 2 types:

Complete. No evidence of embryo, cord or membrane .

Incomplete has evidence of embryo, fetus or amniotic sac.

Signs & Symptom:

These vary according to type of mole. Exaggerated pregnancy symptoms by 6 – 8 weeks. Bleeding or blood stained vaginal discharge after a period of amenorrhea.

·              Slight pink or brownish discharge,

·              Passage of vesicles per vaginam,

·              Anaemia,

·              High chorionic gonadotrophic hormone (CGTH) level,

·              Pre-eclampsia in early pregnancy,

·              On palpation – uterus larger than date, feels dough y or elastic, no fetal parts, no fetal height can be mapped, no fetal movement.

Diagnosis

Ultrasound, Increase CGTH,

Treatment

Remove all the trophoblastic tissues, Terminate pregnancy, Follow up to 2 year until CGTH is negative, Give psychological support.