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Metastatic complete hydatidiform mole with a surviving coexistent twin. A case report
D E Kauffman1, G Sutkin, R P Heine
1Department of Obstetrics and Gynecology, Magee-Womens Hospital, Pittsburgh, Pennsylvania 15206, USA.
The Journal of Reproductive Medicine
|June 15, 2000
Summary
Complete hydatidiform mole with a coexisting fetus is rare. Expectant management requires caution due to potential maternal risks and uncertain fetal survival.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Gynecologic Oncology
Background:
- Complete hydatidiform mole is a rare pregnancy complication.
- Coexistence of a complete mole with a live fetus presents significant clinical challenges.
- Maternal risk and fetal survival rates are uncertain in these cases.
Observation:
- A twin gestation was identified with one complete molar pregnancy and one normal fetus.
- Expectant management was employed until 28 weeks' gestation.
- Metastatic trophoblastic disease was diagnosed at 28 weeks.
Findings:
- The patient delivered a healthy infant via cesarean section.
- Postoperative single-agent chemotherapy was administered.
- The patient achieved disease-free status six months after treatment.
Implications:
- Complete molar pregnancies with coexisting live fetuses require careful clinical consideration.
- Expectant management, while potentially successful, should be approached with caution.
- This case highlights the complex management and potential risks associated with this rare obstetric condition.