Giant complete hydatidiform mole: a case report and review of the literature.
(2024) Journal of Medical Case Reports — Vol. 18, n° 1, p. 277 [1-5] (2024)
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- Abstract
- BACKGROUND: This case describes the youngest patient documented in the literature who presented with a giant hydatidiform mole, effectively addressed through conservative treatment. CASE PRESENTATION: Our department received a 20-year-old Caucasian patient who was admitted due to significant metrorrhagia in an undisclosed pregnancy. During examination, we identified a massive, highly vascularized hydatidiform mole measuring 22 cm (cm). We performed a surgical dilatation and curettage. The anatomopathological findings confirmed the presence of a complete hydatidiform mole (CHM). Following the established guidelines, we conducted weekly monitoring of human chorionic gonadotropin (hCG). Unfortunately, the patient discontinued the follow-up and became pregnant again before achieving hCG negativation. CONCLUSION: This case suggests that conservative treatment is a viable option regardless of the size of gestational trophoblastic disease (GTD), especially when the preservation of fertility is a crucial consideration, as effectively demonstrated in our case.
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Citations
Bonomo, I., Fopa Mafomena, S., Van Vinckenroy, G., & Maillard, C. (2024). Giant complete hydatidiform mole: a case report and review of the literature. Journal of Medical Case Reports, 18(1), 277 [1-5]. https://doi.org/10.1186/s13256-024-04474-7 (Original work published 2024)