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Hydatidiform mole,
invasive mole, cancers of pregnancy, or molar
pregnancy
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- This occurs when cancer affects the
tissues that would otherwise form in pregnancy. This is not
a viable pregnancy, but an abnormal one, because a fetus
does not develop.
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- Excessive nausea and vomiting
- Uterine bleeding
- Grapelike clusters passing through
the vagina
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- Uterus is larger than expected for period of the pregnancy
- Enlarged cystic ovaries
- High Blood Pressure may occur
- Symptoms of high thyroid may occur (palpitations, nervousness, sweating, weight loss)
- Serum Beta-hCG (hormone produced during pregnancy called Human chorionic gonadotropin) above 40,000 mIU/mL
- Urine hCG above 100,000 units/24 hours
- Ultrasound
- Chest X-Ray to check for
lung metastasis
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- Age below 18
- Age greater than
40
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- Suction removal of the Hydatidiform Mole
- Birth control after mole removal,
followed by tests of the Beta-hCG levels
- Another pregnancy should not be
attempted until hCG levels are negative for one year.
- Beta-blocker medications if Hyperthyroidism
occurs
- If cancer is present after the Mole
removal:
- Chemotherapy
- Methotrexate for less
aggressive cancer
- Multi-drug regimen for more
aggressive cancer
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- Normal pregnancy
- Multiple birth
pregnancy
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- This needs to be diagnosed promptly by your obstetrician. Also, many of the signs and symptoms can also be seen in a normal pregnancy, so the obstetrician needs to make the diagnosis.
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