6,149 results match your criteria: "Hydatidiform Mole"

Background: Placental mesenchymal dysplasia (PMD) is a rare placental vascular malformation of unknown etiology. PMD may coexist with a healthy fetus, and its ultrasound appearance is similar to that of a hydatidiform mole, especially the partial type. Prenatal ultrasonography is vital for accurate diagnosis of these conditions.

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New insight on etiology: A chorionic bump with partial mole pregnancy case report from Syria.

J Clin Ultrasound

September 2024

Department of Obstetrics and Gynecology, Faculty of Medicine, Damascus University, Damascus, Syria.

This case report presents the association of a chorionic bump with a partial mole pregnancy in a 37-year-old G3P2 woman. The differential diagnosis of a partial mole was considered after transvaginal ultrasonography revealed a chorionic bump. Subsequent pathological analysis confirmed the diagnosis.

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Epidemiology of Gestational Trophoblastic Disease.

Hematol Oncol Clin North Am

December 2024

Department of Women's and Children's Health, Karolinska Institutet, 171 77 Stockholm, Sweden; Department of Pelvic Cancer, Karolinska University Hospital, 171 64 Stockholm, Sweden. Electronic address:

Article Synopsis
  • Estimating worldwide incidence rates of gestational trophoblastic disease (GTD) is challenging due to varied research methods used across different countries.
  • Asia typically reports higher rates of GTD compared to Europe and North America, but recent data shows a decrease in Asia and an increase in some parts of Europe and North America.
  • Key risk factors for developing hydatidiform mole include maternal age and previous occurrences, and future research should consider gestational trophoblastic neoplasia and promote international collaboration on this rare disease.
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Diagnosis and Management of Molar Pregnancies.

Hematol Oncol Clin North Am

December 2024

New England Trophoblastic Disease Center, Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.

Article Synopsis
  • Complete and partial molar pregnancies result from abnormal fertilization and excessive growth of specific cells called syncytiotrophoblasts.
  • Early diagnosis has improved, reducing severe complications, but the risk of developing gestational trophoblastic neoplasia (GTN) remains the same.
  • Initial assessments should include blood tests and ultrasounds, and after treatment, ongoing monitoring is crucial; psychological support is recommended for all patients.
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Article Synopsis
  • This study investigated the molecular mechanisms of how complete hydatidiform moles (CHM) can lead to post-molar gestational trophoblast neoplasia (GTN) using RNA sequencing (RNA-seq) on samples from 13 patients.
  • By comparing gene expression between patients who developed GTN and those who had spontaneous remission, researchers identified 281 differentially expressed genes and focused on the transcription factor XBP1, which showed significant activation in the GTN group.
  • The research demonstrated that XBP1 plays a crucial role in increasing the migration and invasive abilities of trophoblast cells, as well as contributing to tumor growth in animal models, highlighting its potential as a key factor in the progression from CHM to GT
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Gestational trophoblastic diseases (GTDs) encompass a spectrum of conditions characterized by abnormal trophoblastic cell growth, ranging from benign molar pregnancies to malignant trophoblastic neoplasms. This systematic review explores the molecular underpinnings of GTDs, focusing on genetic and epigenetic factors that influence disease progression and clinical outcomes. Based on 71 studies identified through systematic search and selection criteria, key findings include dysregulations in tumor suppressor genes such as , aberrant apoptotic pathways involving (B-cell lymphoma), and altered expression of growth factor receptors and microRNAs (micro-ribose nucleic acid).

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Article Synopsis
  • Invasive hydatidiform mole is a dangerous growth that can happen in women of reproductive age, and it can lead to serious health problems.
  • A 24-year-old Chinese woman with no previous pregnancies had ongoing bleeding after a medical procedure, and doctors found abnormal growths in her uterus.
  • She was treated with chemotherapy and a special ultrasound technique, which helped improve her condition and showed positive results in follow-up exams.
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Postoperative discovery of molar pregnancy.

Pan Afr Med J

August 2024

Department 'C' of Gynecology and Obstetrics, Tunis Maternity and Neonatology Center, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

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Background: Patients with choriocarcinoma (CC) accompanying chemoresistance conventionally present a poor prognosis. Whether ras protein activator like-1 (RASAL1) functions as a tumor promoter or suppressor depends on tumor types. However, the role of RASAL1 in process of chemoresistance of CC and underlying molecular mechanism remain elusive.

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Article Synopsis
  • Gestational trophoblastic disease (GTD) includes various types of abnormal tissue growth during pregnancy, such as hydatidiform moles and choriocarcinoma, with ectopic molar gestation (EMG) being a rare form that carries similar risks as intrauterine moles.
  • A 36-year-old woman experienced severe abdominal pain and spotting at 8 weeks of pregnancy, leading to the diagnosis of a large right adnexal hydatidiform mole via ultrasound despite a prior abortion four months earlier.
  • Emergency surgery confirmed the diagnosis of a complete ectopic hydatidiform mole, highlighting the importance of ultrasound in diagnosing EMG and considering it as a potential cause in cases of suspected ectopic pregnancy. *
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Tubal ectopic molar pregnancy: A case report.

Int J Reprod Biomed

May 2024

Department of Obstetrics and Gynecology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Background: Ectopic molar pregnancy (EMP) is a rare form of gestational trophoblastic disease that occurs when a hydatidiform mole implants outside the uterus.

Case Presentation: We describe a 35-yr-old woman with mild abdominal pain, delayed menstruation for 2 months, and high beta-human chorionic gonadotropin levels. Sonography revealed a heterogeneous hyperechoic mass in the left adnexa and fluid in the endometrial cavity, suggestive of a tubal EMP.

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Aims: Specific identification of a hydatidiform mole (HM) and subclassification of a complete hydatidiform mole (CHM) or partial hydatidiform mole (PHM) are critical. This study aimed to reappraise the diagnostic performance of ultrasonography and histology with a refined diagnosis.

Methods: This was a retrospective, multicentre cohort study of 821 patients with histologically suspected HM specimens.

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Article Synopsis
  • A 34-year-old woman diagnosed with an invasive mole had an 18 F-FDG PET/CT scan to check for cancer spread.
  • The scan showed no FDG uptake in the lungs despite CT indicating multiple lung metastases, but significant uptake was found in a pelvic lesion, hinting at ovarian metastasis.
  • MRI revealed a ring-shaped enhancement consistent with a corpus luteum, which could be influenced by elevated human chorionic gonadotropin from the mole, emphasizing the need for careful interpretation of PET/CT results to avoid false positives.
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Aims: Diagnostic separation of diandric triploid gestation, i.e. partial mole from digynic triploid gestation, is clinically relevant, as the former may progress to postmolar gestational trophoblastic neoplasia.

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Analysis of Fertility Prognosis and Risk Factors in Patients Post-Gestational Trophoblastic Disease.

Reprod Sci

October 2024

Reproductive Medicine Center, The First Hospital of Lanzhou University, No. 1 Dong Gang Xi Road, Chengguan District, Lanzhou, 730000, Gansu, China.

To retrospectively analyze the fertility outcomes and prognosis of gestational trophoblastic disease (GTD) patients, providing a basis for targeted fertility guidance and counseling. 82 GTD patients of childbearing age who received treatment at the Obstetrics and Gynecology Department of Lanzhou University First Hospital from January 2016 to January 2023 were stratified into re-pregnancy (n = 20) and non-re-pregnancy (n = 33) cohorts based on their pregnancy outcomes. The impacts of various factors on pregnancy outcomes were subsequently evaluated, encompassing the rates of subsequent pregnancies, live births, miscarriages, ectopic pregnancies, and ongoing pregnancies.

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Placental Mosaicism in Multiple Gestation: Complete Hydatidiform Mole with Coexisting Twin Fetus.

Acta Med Philipp

June 2024

Division of Trophoblastic Diseases, Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines Manila.

Hydatidiform mole coexistent with a live fetus (CMCF) is a rare entity occurring in 1:20,000 to 1:100,000 pregnancies. Three mechanisms of this type are possible: (1) a singleton pregnancy consisting of partial mole with a triploid fetus, (2) a twin gestation consisting of an androgenic complete hydatidiform mole with a biparental diploid fetus, and (3) a twin gestation consisting of a biparental diploid fetus with a normal placenta and a partial hydatidiform mole (PHM) with a triploid fetus. The abnormal triploid fetus in a partial mole tends to die in the first trimester while the fetus coexisting with a complete or partial mole in the dizygotic twin pregnancy has a chance to survive.

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Mixed Gestational Trophoblastic Tumors-Challenging Clinicopathological Presentations.

Int J Gynecol Pathol

January 2025

Center for the Precision Medicine of Trophoblastic Disease, Department of Pathology, Yale School of Medicine, New Haven, Connecticut.

Mixed gestational trophoblastic tumors are exceptionally rare and have variable clinicopathological presentations. We report 3 such tumors with different combinations of choriocarcinoma (CC), placental site trophoblastic tumor (PSTT), and epithelioid trophoblastic tumor (ETT). The patients' age ranged from 38 to 44 years.

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Article Synopsis
  • Eclampsia spectrum disorders are serious pregnancy complications that typically occur after 20 weeks, but can manifest earlier in cases of molar pregnancies.
  • A case study is presented about a woman in her mid-20s who, at 16 weeks of gestation, developed eclampsia and related complications after being diagnosed with a partial hydatidiform mole.
  • The ultrasound and pathology confirmed a partial molar pregnancy with a specific genetic profile, emphasizing the need for early screening for hypertensive disorders in pregnant patients with molar pregnancies.
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We herein report a rare case of simultaneous intrauterine molar pregnancy and tubal pregnancy. A woman of childbearing age who had never been pregnant underwent an ultrasound examination 70 days after the onset of menopause. She had a history of ovulation induction.

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Background: This case describes the youngest patient documented in the literature who presented with a giant hydatidiform mole, effectively addressed through conservative treatment.

Case Presentation: Our department received a 20-year-old Caucasian patient who was admitted due to significant metrorrhagia in an undisclosed pregnancy. During examination, we identified a massive, highly vascularized hydatidiform mole measuring 22 cm (cm).

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