Document Detail


A hydatidiform mole in a postmenopausal woman. A case report and review of the literature.
MedLine Citation:
PMID:  15338558     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gestational trophoblastic disease occurs in less than 1 per 1200 pregnancies in the United States. The spectrum of this disease ranges from benign hydatidiform mole to trophoblastic malignancy (placental-site trophoblastic tumor and choriocarcinoma). Benign gestational trophoblastic disease generally occurs in women of reproductive age and is extremely rare in postmenopausal women. To our knowledge, our case represents only the third description in the world literature of a benign complete hydatidiform mole in a woman with a history of amenorrhea greater than 1 year. We describe the case of a 61-year-old postmenopausal woman who underwent an emergent total abdominal hysterectomy due to uncontrollable vaginal bleeding associated with an increased serum beta-human chorionic gonadotropin level. The resected uterus contained an endometrial, cystic, grapelike tumor. Microscopic examination demonstrated hydropic degenerated villi with a circumferential trophoblastic cell proliferation and moderate atypia, consistent with a complete hydatidiform mole. The morphologic and immunophenotypic characteristics are presented, as well as the results of a literature review.
Authors:
Monica Garcia; Rita L Romaguera; Carmen Gomez-Fernandez
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Archives of pathology & laboratory medicine     Volume:  128     ISSN:  1543-2165     ISO Abbreviation:  Arch. Pathol. Lab. Med.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-31     Completed Date:  2005-02-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7607091     Medline TA:  Arch Pathol Lab Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1039-42     Citation Subset:  AIM; IM    
Affiliation:
Department of Pathology, University of Miami School of Medicine, Miami, Fla, USA.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Chorionic Gonadotropin / analysis
Female
Humans
Hydatidiform Mole / chemistry,  pathology*
Immunohistochemistry
Middle Aged
Postmenopause*
Pregnancy
Uterine Neoplasms / chemistry,  pathology*
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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