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Uterus Normal uterine anatomy (cut section)
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Hydatidiform mole
Alternative Names: Hydatid mole; Molar pregnancy Treatment: If a miscarriage does not occur and the diagnosis is confirmed, a therapeutic abortion is performed by suction curettage (D and C). Text Continues Below Following either case, serum HCG levels are monitored to assure they return to a normal, non-pregnant level. A hysterectomy may be an option for older women who do not desire future pregnancies. Expectations (prognosis): More than 80% of hydatidiform moles are benign (non-cancerous). The outcome after treatment is usually excellent. Close follow-up is essential. Highly effective means of contraception are recommended to avoid pregnancy for at least 6-12 months. In 10-15% of cases, hydatidiform moles may develop into invasive moles. These may intrude so far into the uterine wall that hemorrhage or other complications develop. In 2-3% of cases, hydatidiform moles may develop into choriocarcinoma, which is a malignant, rapidly growing, and metastatic (spreading) form of cancer. Despite these factors, which normally indicate a poor prognosis, the rate of cure after treatment with chemotherapy is high. Over 90% of women with malignant, non-spreading cancer are able to survive and retain their ability to have children. In those with metastatic (spreading) cancer, remission remains at 75-85%, although the ability to have children is usually lost. Complications: Page:  1 | 2 | Next >>