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[Molar pregnancy in postmenopause].

Márton Keszthelyi1, Marcell Bakos1, István Szabó1

  • 11 Semmelweis Egyetem, Általános Orvostudományi Kar, Szülészeti és Nőgyógyászati Klinika Budapest, Üllői út 78/A, 1082 Magyarország.

Orvosi Hetilap
|February 22, 2023
PubMed
Summary

This case report highlights a rare instance of molar pregnancy in a 53-year-old woman presenting with perimenopausal bleeding. Early diagnosis is crucial for managing this high-risk gestational trophoblastic disease.

Keywords:
hydatidiform molemola hydatidosamolar pregnancymolaterhességpostmenopausapostmenopauseterhességi trophoblastbetegségtrophoblastic pregnancy disorder

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Area of Science:

  • Gynecology
  • Oncology
  • Reproductive Medicine

Background:

  • Gestational trophoblastic disease (GTD) encompasses rare conditions like hydatidiform mole.
  • Hydatidiform mole originates from pregnancy tissue, presenting unique pathogenic characteristics.
  • Typically affects women of reproductive age.

Observation:

  • A 53-year-old perimenopausal female presented with abnormal uterine bleeding.
  • Molar pregnancy was diagnosed, an atypical presentation for this age group.
  • Symptoms mimicked incomplete miscarriage, ectopic pregnancy, or typical perimenopausal bleeding.

Findings:

  • The case underscores the importance of considering molar pregnancy in atypical presentations.
  • Diagnostic challenges arise due to symptom overlap with other gynecological conditions.
  • Successful diagnosis and management of this rare case were achieved.

Implications:

  • Raises awareness of atypical hydatidiform mole presentations in older women.
  • Emphasizes the need for vigilant diagnosis in perimenopausal bleeding disorders.
  • Highlights the critical role of prompt diagnosis in managing high-risk GTD.