Molar pregnancy has not been reported in women past the age of 57 in t
he English literature. This report reviews a 60-year-old woman who pre
sented with irregular bleeding and was diagnosed as having a complete
hydatidiform mole. The patient underwent hysterectomy and had spontane
ous return of her human chorionic gonadotsopin levels to normal. Diagn
osis in this age group depends on a high level of suspicion, and hyste
rectomy should be considered due to the high risk of postmolar gestati
onal trophoblastic tumor after suction uterine evacuation. (C) 1997 In
ternational Federation of Gynecology and Obstetrics.