Complete hydatidiform mole. A disease with a changing profile. Outcome of pregnancies occurring within 1 year of hydatidiform mole. Fifty-five patients wished to conceive. Main outcome measures-Pregnancy, live births.
Chemotherapy is very effective in the cure of gestational trophoblastic tumors.
Return of fertility compares favorably with the general population of the same reproductive age. There appears to be no increase in fetal congenital malformations. Because of the low number of cases reported so far worldwide, several treatment strategies have been under consideration, which will be debated following this case report. A 9-month delay in accurate diagnosis was caused by a misinterpretation of her symptoms as signs of a spontaneous abortion. Primary surgical treatment consisting of abdominal hysterectomy and unilateral salpingo-oophorectomy was followed by multiple resections of recurrent vaginal disease.