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Metastatic invasive mole in the urinary bladder.

Bhawna Malhotra¹, Renu Misra

¹Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, India.

Indian Journal of Cancer

|August 21, 2003

Summary

This case report details an invasive mole that spread to the urinary bladder, a previously undocumented metastasis. Treatment involved tumor resection, leading to spontaneous regression of serum chorionic gonadotropin levels.

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Area of Science:

Gynecology
Urology
Oncology

Background:

Gestational trophoblastic disease (GTD) encompasses a spectrum of placental-related tumors.
Invasive mole, a form of GTD, typically requires chemotherapy for metastatic disease.
Urinary bladder metastasis from GTD is exceptionally rare.

Observation:

A patient presented with hematuria one month post-molar pregnancy evacuation.
A tumor was identified in the urinary bladder.
Serum human chorionic gonadotropin (hCG) levels were monitored.

Findings:

The urinary bladder tumor was diagnosed as an invasive mole metastasis.
Transurethral cystoscopic resection of the bladder tumor was performed.
Post-operatively, serum hCG levels regressed spontaneously to normal.

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Implications:

This case highlights the urinary bladder as a potential, albeit rare, site for invasive mole metastasis.
Spontaneous regression of hCG post-resection suggests localized disease control.
Further investigation into the behavior and management of rare GTD metastatic sites is warranted.