Abstract | BACKGROUND: Ectopic hydatidiform mole is a rare, yet overdiagnosed, entity. A diagnosis of ectopic molar pregnancy requires close follow-up, has implications on future fertility, and may require chemotherapy. Patients diagnosed with a hydropic abortus do not require hormone surveillance or abstinence from pregnancy for the extended time period generally recommended for patients diagnosed with a complete or partial hydatidiform mole. The correct classification of products of conception is clinically important because each of the three diagnoses has a different potential for malignant transformation. CASE: A 29-year-old woman, G5P2104, with ectopic pregnancy and without clinical or laboratory data suspicious for molar pregnancy required ancillary histopathologic testing for accurate diagnosis. CONCLUSION: This case illustrates the vital role of the gynecologist in assimilating information to prevent over-diagnosis of ectopic molar pregnancy. General gynecologists must therefore understand the histopathologic options available for differentiating hydropic products of conception, partial hydatidiform mole and complete hydatidiform mole.
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Authors | Mona C McCullough, Stuart Hart, Enid Gilbert-Barnes, William N Spellacy |
Journal | The Journal of reproductive medicine
(J Reprod Med)
2013 Jul-Aug
Vol. 58
Issue 7-8
Pg. 351-3
ISSN: 0024-7758 [Print] United States |
PMID | 23947088
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Chorionic Gonadotropin, beta Subunit, Human
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Topics |
- Adult
- Chorionic Gonadotropin, beta Subunit, Human
(blood)
- Diagnosis, Differential
- Female
- Gynecology
- Humans
- Hydatidiform Mole
(diagnosis, epidemiology, pathology)
- In Situ Hybridization, Fluorescence
- Physician's Role
- Pregnancy
- Pregnancy, Tubal
(diagnosis, pathology)
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