A CASE-REPORT OF A PATIENT WITH 12 CONSECUTIVE COMPLETE MOLAR PREGNANCIES

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.