Invasive Molar Pregnancy in a Woman Aged 54 Years A Case Report
| Autor: | Mihai Dimitriu, Mariana Bragaru, Iulia Maria Tarcomnicu, Camelia Teodora Vlădescu, Cringu Antoniu Ionescu |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Gynecology
medicine.medical_specialty business.industry 030209 endocrinology & metabolism medicine.disease Endometrium Benign tumor Menopause 03 medical and health sciences Pregnancy rate 0302 clinical medicine Molar pregnancy medicine.anatomical_structure medicine Endometrial Polyp Amenorrhea Enlarged Uterus 030212 general & internal medicine medicine.symptom business reproductive and urinary physiology |
| Zdroj: | Journal of Clinical Case Reports. |
| ISSN: | 2165-7920 |
| Popis: | We reported a 54-year-old patient with a complete hydatidiform mole invasive in myometrium. This diagnostic was suggested by irregular vaginal haemorrhage, amenorrhea and reduced nausea. Our paraclinical investigation was: pelvic ultrasound and level of serum beta-human chorionic gonadotropin (β-hCG). Endovaginal ultrasound reveal enlarged uterus volume, with dimensions 12/15/8 cm, with the presence of multiple nodular formations located intramural and subserosal and a mass with Doppler rich blood supply through myometrium and endometrium. The level of β-hCG was 28099.00 mIU/L. Therapeutic method applied was abdominal hysterectomy and bilateral salpingo-oophorectomy. Anatomopathological report revealed a complete invasive mole and endometrial polyp. After the surgical intervention the patient was treated with Methotrexate as prophylactic chemotherapy recommended by oncologists because of the invasive character of mole and age of patient. The complete invasive mole is a benign tumor that is characterized by abnormal proliferation of trophoblast and is locally invasive and possible metastatic. Developing pregnancy rate in perimenopause period is very rare and most of the pregnancies that occur at this age are abnormal, spontaneous abortion occurring most often. We choose to report this case to emphasize that this condition can occur in a relatively advanced age, especially during perimenopause period. |
| Databáze: | OpenAIRE |
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