PREGNANCY-BIRTH Messages for September, 1999: Re: hydatidiform mole

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Re: hydatidiform mole

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 10 Sep 1999 12:57:12 -0500 (CDT)

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In reply to: aarthi: "hydatidiform mole"

At Wed, 8 Sep 1999, aarthi wrote: >
>Dear Doctor,
>
>I have recently delivered a live healthy male child by a C/S
>intra-operatively along side the normal placenta there was a mass of
>vesicles grossly resembling hydatiform mole.
>
>Histopathology confirmed benign hydatiform mole with no trophoblastic
>invasion.How ever serial beta HCG was suggested.
>
>Antenataly the patient had no symptom suggesting molar pregnancy.
>Doppler study was also normal.Presently the patient is on her 6th post
>operative day.
>
>Kindly guide me as to the follow up of the patient and also any
>additional information on this subject will be welcome.
>
>Dr Aarthi

I have read about this but never personally seen this. It is quite uncommon. Folow-up HCGs are mandatory and must be followed to zero. the possibility of progression of gestational trophoblastic disease is present. If the HCG levels do not decrease appropriately, metastatic workup should be done and possible Methotrexate therapy. you may also wish to post this to the Medical Professional's Forum for more opinions.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

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**Thank you for your understanding ;-)

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Previous message: Harvey S. Marchbein, M.D.: "Re: Auto Immunue Progesterone Dermatitis"
In reply to: aarthi: "hydatidiform mole"

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