Dee. Rizk et Ar. Ramy, A CASE-REPORT OF A PATIENT WITH 12 CONSECUTIVE COMPLETE MOLAR PREGNANCIES, International journal of gynecological cancer, 7(4), 1997, pp. 335-336
Recurence is a rare complication of hydatidiform mole, although it is
serious because the chances of a subsequent term pregnancy decrease, t
he incidence of a further episode increases, and the risk of malignanc
y is higher. We report a 38-year-old woman presenting at 10 weeks gest
ation with a history of 11 previous consecutive molar pregnancies. Ult
rasound scan revealed a molar pregnancy treated by suction evacuation
of the uterus. Histology showed a complete mole with a karyotype of 46
XX. The patient refused sterilization as she wished to continue to at
tempt to have a child and remains well at follow-up with no evidence o
f persistent trophoblastic disease. Patients with a complete hyaditidi
form mole should be informed about the possibility of recurrence inclu
ding its adverse effect on future obstetric outcome and greater malign
ant potential.