Partial hydatidiform mole evolving into metastatic trophoblastic tumor: case report

Authors

  • I. Elamouri Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morroco
  • S. Tanouti Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morroco
  • H. Taheri Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morroco
  • H. Saadi Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morroco
  • A. Mimouni Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morroco

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20201250

Keywords:

22 weeks amenorrhea, Chemotherapy, Myometrial invasion, Partial hydatidiform mole, Pulmonary metastasis, Trophoblastic tumor

Abstract

Partial hydatidiform mole can evolve into a metastatic trophoblastic tumor. A 36-year-old, multiparous woman, pregnant with a 22-week embryonic hydatidiform mole, having spontaneously expelled. Histopathological examination showed a non-invasive partial mole. During biological monitoring, a trophoblastic tumor was diagnosed with pulmonary metastasis on CT-scan and myometrial invasion by MRI. Authors opted for a monochemotherapy with a good evolution. The potential risk of malignant transformation of the partial hydatidiform mole requires an adequate therapeutic strategy with strict monitoring.

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Published

2020-03-25

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Case Reports