EXTRAUTERINE MOLAR PREGNANCY: A CASE OF TUBAL PARTIAL MOLAR PREGNANCY

Ashmita Adhikari, Dija Khanal, S. Shrestha, R. Joshi, J. Chaudhary, Prajita Bhandari
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Abstract

Molar pregnancy can occur outside the uterine cavity. Ectopic molar pregnancy although a rare entity does exist. The patient presents with features similar to ruptured or unruptured ectopic gestation. Management requires surgical removal of the conceptus and follow-up. Diagnosis with histopathological examination of the specimen is the gold standard. Here, we report an unusual case of 30 years female with a left tubal partial hydatidiform mole. The initial suspicion was made with preoperative raised serum beta Human Chorionic Gonadotropin levels and the diagnosis was confirmed with the histopathological examination of the specimen. The patient was followed up with serial weekly serum beta Human Chorionic Gonadotropin monitoring and remission was achieved. Therefore, sending samples for histopathological examination after surgical management of ectopic pregnancy is mandatory to detect molar ectopic pregnancy in order to make a proper follow-up and to prevent persistent gestational trophoblastic diseases.
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宫外磨牙妊娠:输卵管部分磨牙妊娠1例
磨牙妊娠可发生在子宫腔外。异位磨牙妊娠虽然罕见,但确实存在。患者表现出与破裂或未破裂异位妊娠相似的特征。治疗需要手术切除胎体并随访。对标本进行组织病理学检查是诊断的金标准。在这里,我们报告一个不寻常的情况下,30岁的女性左侧输卵管部分葡萄胎。术前血清β -人绒毛膜促性腺激素水平升高,初步怀疑,标本的组织病理学检查证实了诊断。对患者进行连续的每周血清-人绒毛膜促性腺激素监测,病情得到缓解。因此,异位妊娠手术处理后送标本进行组织病理学检查是必要的,以发现磨牙异位妊娠,以便进行适当的随访,防止妊娠滋养细胞疾病的持续发生。
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