BMJ Case Reports 2013; doi:10.1136/bcr-2012-008128

Surveillance without chemotherapy in a woman with recurrent molar pregnancy

  1. Lakhbir Kaur Dhaliwal1
  1. 1Department of Obstetrics & Gynecology, PGIMER, Chandigarh, India
  2. 2Department of Cytology and Gynecological Pathology, PGIMER, Chandigarh, India


A 27-year-old fouth gravida patient with previous two partial molar pregnancies and one missed abortion underwent a suction evacuation for partial molar pregnancy at 9 weeks of gestation. She was followed up with serum HCG values. Though the HCG level reduced from a pre-evacuation value of 1 40 223–31 157 mIU/ml 1 week post procedure, the levels continued to be positive in low titres 6 months after suction evacuation. The management options were discussed with the patient and a decision was taken to continue surveillance with serial HCG titres. HCG levels normalised after 11 months without the need for chemotherapy.

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