Hydatidiform Mole

Hydatidiform Mole
Clx
·       🆎 Vaginal bleeding ± hydropic tissue
·       Uterine enlargement > gestational age
·       Abnormally ⤴️ BhCG
·       Theca lutein ovarian cysts
·       Hyperemesis gravidarum
·       Preeclampsia with severe features
·       Hyperthyroidism
RFs
·       Extremes of maternal age
·       Hx of hydatidiform mole
Dx
·       “Snowstorm” appearance on US
·       Histologic evaluation of uterine contents
Tx
·       Dilation & suction curettage
·       Serial serum ß-hCG post evacuation
·       Contraception for 6 months


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