Surveillance without chemotherapy in a woman with recurrent molar pregnancy

BMJ Case Rep. 2013 Feb 20:2013:bcr2012008128. doi: 10.1136/bcr-2012-008128.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Abortion, Induced
  • Adult
  • Antineoplastic Agents*
  • Chorionic Gonadotropin / blood
  • Contraindications
  • Diagnosis, Differential
  • Female
  • Humans
  • Hydatidiform Mole / blood
  • Hydatidiform Mole / diagnosis*
  • Neoplasm Recurrence, Local / blood
  • Neoplasm Recurrence, Local / diagnosis*
  • Pregnancy
  • Pregnancy Complications, Neoplastic*

Substances

  • Antineoplastic Agents
  • Chorionic Gonadotropin