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Hydatidiform mole in Kandang Kerbau Hospital--a 5-year review
1Department of Gynaecologic Oncology and Urogynaecology, KK Women's and Children's Hospital, Singapore.
Background:
This is a 5-year review of hydatidiform mole in a major maternity hospital.
Patients:
A total of 75 patients were studied, with 35 cases of complete hydatidiform mole and 40 cases of partial hydatidiform mole.
Results:
The annual incidence of hydatidiform mole was between 1 in 1,601 deliveries and 1 in 721 deliveries. The racial distribution was higher among the Malay and Indian population. Pre-operative diagnosis was made in 53.3% of the cases. Per vaginal bleeding was the main presenting complaint in 89.3% of cases. All patients were treated with vacuum aspiration. All patients with partial hydatidiform mole had spontaneous remission after vacuum aspiration. Three patients with complete mole required chemotherapy. Methotrexate was used. There was a significant number of patients who did not practise contraception in the initial remission period after vacuum aspiration.
Conclusion:
Education of these patients is necessary. Prognosis of patients with hydatidiform mole is good with proper follow-up. Setting up of a National Trophoblastic Centre is recommended.