Publication details
Kompletní mola hydatidosa u perimenopauzální pacientky imitující zhoubný nádor dělohy
| Title in English | Complete hydatidiform mole in perimenopausal patient imitating uterine cancer |
|---|---|
| Authors | |
| Year of publication | 2020 |
| Type | Article in Periodical |
| Magazine / Source | Česká gynekologie |
| MU Faculty or unit | |
| Citation | |
| Web | https://www.prolekare.cz/casopisy/ceska-gynekologie/2020-5-9/kompletni-mola-hydatidosa-u-perimenopauzalni-pacientky-imitujici-zhoubny-nador-delohy-124507 |
| Keywords | gestational trophoblastic disease; complete hydatidiform mole; perimenopausal bleeding |
| Description | Case report of a perimenopausal patient with histologically confirmed molar pregnancy, which was imitating a malignant tumor of the uterus according to an ultrasound examination. Design: Case report. Setting: Department of Obstetrics and Gynecology, Masaryk University, University Hospital Brno. Case report: The 51-year-old patient went to the gynecological clinic for a month of spotting. A large tumor was described during the ultrasound examination. It was without an obvious invasion of the myometrium, but significantly oppressing it. Dilatation and curettage were indicated, which brought a surprising result – complete hydatidiform mole. The patient wished to preserve the uterus, so the treatment was completed by vacuum aspiration and curettage of the uterus under ultrasound control to remove all the rest material. The patient was monitored at regular intervals until BETA-hCG negativity. Currently, there are no signs of disease recurrence three years after the procedure. Conclusion: Gestational trophoblastic disease is relatively rare in women in the peri- and postmenopausal period, however, it is advisable to keep this diagnosis in mind and complete BETA-hCG examination in the case of a suspicious ultrasound image. Hysterectomy dominates as the treatment method even in benign forms of the disease. A vacuum aspiration/curettage of the uterus with subsequent careful follow up can be alternative option. |