Clinical behaviour of hydatidiform mole

Forty-eight patients of hydatidiform mole are reviewed. Forty cases (83.3%) were between 20 and 30 years of age and 24 women (50%) were primigravidae. The most common presenting symptom was intermittent bleeding. Ultrasound which became available during the latter part of the study has helped in early and definitive diagnosis. Oxytocin drip followed by suction evacuation was the mainstay of treatment. Four of the women who were followed up had persistent high titre of HCG and were treated with cytotoxic drugs. A regular follow-up is mandatory for early diagnosis and treatment of persistent trophoblastic activity.