Molar Pregnancy

Molar pregnancies occur in 1:400-2000 pregnancies.

A molar pregnancy, or hyadiform mole, is a trophoblastic neoplasm.

A partial mole has 69 chormosomes from both parents.

A complete mole is an empty egg fertilized by 2 sperm, with all genetic material derived from the father.

Causes and Risk Factors

Any pregnancy can result in molar pregnancy.

Partial moles are more common with older women becoming pregnant.

Too much beta-hCG leads to hyperemeisis, IUGR

Exam shows uterus > dates

beta hCG is a perfect tumour marker.

Ultrasound is required for evaluation

Single agent chemotherapy, ie methotrexate, can be extremely effective in curing diease.

A dilation and curretage can be done

Following

Lung metastasis can occur.

gynecology.medicine.dal.ca