Molar pregnancy: Difference between revisions

(Created page with "==Background== *Type of gestational trophoblastic disease **Neoplasm of placental hCG-producing trophoblast cells **Non-invasive (invasive form is choriocarcinoma, can metasta...")
 
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==Evaluation==
==Evaluation==
[[File:Molar pregnancy.jpg|thumb|Molar pregnancy on ultrasound]]
*Serum hCG
*Serum hCG
*Evaluate for other causes of or electrolyte derangements due to [[vomiting]]
*Evaluate for other causes of or electrolyte derangements due to [[vomiting]]

Revision as of 23:03, 9 November 2016

Background

  • Type of gestational trophoblastic disease
    • Neoplasm of placental hCG-producing trophoblast cells
    • Non-invasive (invasive form is choriocarcinoma, can metastasize to brain, liver, lung)
  • Non-viable fertilized egg implants in uterine wall
    • Complete: all chorionic villi are vesicular, swollen, with no embryonic development
    • Partial: some vesicular chorionic villi, +/- (nonviable) embryonic development

Clinical Features

Due primarily to elevated levels of hCG

Differential Diagnosis

Evaluation

Molar pregnancy on ultrasound
  • Serum hCG
  • Evaluate for other causes of or electrolyte derangements due to vomiting
  • Ultrasound: enlarged uterus with interspersed lucent and brighter areas ("snowstorm" appearance)

Management

  • Ob/gyn consult
    • Suction curettage as inpatient (due to risk of bleeding)
  • Resuscitate if severe bleeding
  • Treat preeclampsia
  • Symptomatic resuscitation of nausea/vomiting

Disposition

  • Admit

See Also

External Links

References