COMPLETE HYDATIDIFORM MOLE AND COEXISTING NORMAL FETUSES - A REPORT OF 2 CASES WITH CONTRASTING OUTCOMES

BACKGROUND: Multiple pregnancies consisting of a complete hydatidiform mole and coexisting fetuses are relatively rare but may become more c ommon due to the increasing use of ovulation-induction agents. CASES: We report on a twin and a triplet pregnancy, conceived using clomiphen e citrate, with contrasting outcomes The twin pregnancy resulted in a term delivery of a healthy singleton and the triplet pregnancy in a te rmination at 17 weeks followed by the development of choriocarcinoma. CONCLUSION: The few cases available suggest that a subgroup of complet e moles follows a move benign course and can be managed conservatively , allowing the pregnancy to go to term with appropriate follow-up, whe reas other cases follow a more aggressive course. Larger case series a re needed to develop definitive protocols.