Document Detail


The gynecologist's role in preventing overdiagnosis of ectopic molar pregnancy: a case report.
MedLine Citation:
PMID:  23947088     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Ectopic hydatidiform mole is a rare, yet overdiagnosed, entity. A diagnosis of ectopic molar pregnancy requires close follow-up, has implications on future fertility, and may require chemotherapy. Patients diagnosed with a hydropic abortus do not require hormone surveillance or abstinence from pregnancy for the extended time period generally recommended for patients diagnosed with a complete or partial hydatidiform mole. The correct classification of products of conception is clinically important because each of the three diagnoses has a different potential for malignant transformation.
CASE: A 29-year-old woman, G5P2104, with ectopic pregnancy and without clinical or laboratory data suspicious for molar pregnancy required ancillary histopathologic testing for accurate diagnosis.
CONCLUSION: This case illustrates the vital role of the gynecologist in assimilating information to prevent over-diagnosis of ectopic molar pregnancy. General gynecologists must therefore understand the histopathologic options available for differentiating hydropic products of conception, partial hydatidiform mole and complete hydatidiform mole.
Authors:
Mona C McCullough; Stuart Hart; Enid Gilbert-Barnes; William N Spellacy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  58     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:    2013 Jul-Aug
Date Detail:
Created Date:  2013-08-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  351-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, University of South Florida, 2 Tampa General Circle, STC 6th Floor, Tampa, FL 33606, USA. mona_mccullough@yahoo.com
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