COMPLETE HYDATIDIFORM MOLE IN TWIN PREGNANCY - DIFFERENTIATION FROM PARTIAL MOLE WITH INTERPHASE CYTOGENETIC AND DNA CYTOMETRIC ANALYSES ONPARAFFIN-EMBEDDED TISSUES
Ca. Vandekaa et al., COMPLETE HYDATIDIFORM MOLE IN TWIN PREGNANCY - DIFFERENTIATION FROM PARTIAL MOLE WITH INTERPHASE CYTOGENETIC AND DNA CYTOMETRIC ANALYSES ONPARAFFIN-EMBEDDED TISSUES, Histopathology, 26(2), 1995, pp. 123-129
Six cases of hydatidiform mole associated with normal chorionic villi
and a normal embryo/fetus (in five cases) were investigated with inter
phase cytogenetic and DNA cytometric analyses for diagnostic purposes.
DNA probes specific for the pericentromeric regions of chromosomes 1
and X and for the long arm of chromosome Y were used, In four cases a
dizygotic twin pregnancy could be proven, In these cases, the histolog
ically normal chorionic villi showed an XY DNA-diploid pattern, consis
tent with a normal male conceptus, and the molar chorionic villi a XX
pattern. In the other two cases an identical sex chromosomal pattern w
as found in the normal and in the molar villi (XX/XX and XY/XY respect
ively). In all six cases the molar placental tissues showed prominent
trophoblastic hyperplasia with DNA-polyploidy, consistent with a compl
ete hydatidiform mole, In two cases persistent gestational trophoblast
ic disease developed, It is emphasized that twin pregnancies composed
of a normal conceptus and a complete mole have a relatively high risk
for the development of persistent trophoblastic disease and therefore,
should be carefully differentiated from triploid partial moles with a
relatively low risk of persistent gestational trophoblastic disease,
These case reports indicate that additional interphase cytogenetic and
DNA cytometric analyses are useful in this differential diagnosis.