Clinical management and the neoplastic sequelae of trophoblastic embolization associated with hydatidiform mole

The clinical presentation, diagnosis, and management of pulmonary embolization of trophoblastic tissue associated with hydatidiform mole is discussed with particular emphasis on invasive cardiac monitoring at the time of mole evacuation and the immediate use of high-dose steroid therapy. Trophoblastic embolization appears to have a nearly invariable association with subsequent nonmetastatic trophoblastic neoplasia.