HYDATIDIFORM MOLE: A REVIEW OF MANAGEMENT OUTCOMES IN A TERTIARY HOSPITAL, SIR T HOSPITAL, BHAVNAGAR
Keywords:Hydatidiform mole, suction evacuation, human chorionic gonadotrophin
Hydatidiform mole is the non- malignant form of gestational trophoblastic neoplasia. The prevalence of 1:250 to 1:500 has been reported which vary widely in different parts of the world. Therefore, Knowledge of prevalence and associated risk factors may add value in the management outcomes of molar pregnancy in our setting. 20 women who clinically diagnosed with hydatidiform mole in Tertiary Hospital, Sir T Hospital, Bhavnagar were included in study. The diagnosis of HM was based on a pelvic ultrasonography, quantitative estimation of the serum beta human chorionic gonadotrophin (B-hCG) and confirmed by histopathologic specimen taken during suction evacuation. 60% patients were of age between 20-25 years, 60% patients had gestational period between 1-2 months. All 20 patients had bleeding PV. 1 patient developed PIH. 2 patients had ovarian enlargement. 1 patient had invasive mole. No patient had choriocarcinoma. 55% patient developed hyperthyroidism. 1 patient had complication of pulmonary embolism. All 20 patients were treated by uterine suction and evacuation. The use of Ultrasonography in the evaluation of vaginal bleeding in early pregnancy, as well as histologic evaluation of products of conception, is important in early diagnosis and treatment H- mole. There is need for early recognition, timely referral, prompt and proper treatment of this condition.
Keywords: Hydatidiform mole , suction evacuation , human chorionic gonadotrophin (B-hCG)
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