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Case 28 - A 34-Year-Old G2P1 Woman with Elevated β-hCG (>250 000 mIU/mL) and Concern for Molar Gestation

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A healthy 34-year-old woman, gravida 2, para 1001, last menstrual period (LMP) approximately nine weeks ago presents with vaginal spotting. She reports nausea and vomiting for three weeks. Her menstrual cycles are normal in length, and she is sure of her LMP. She reports a history of a normal pregnancy that resulted in an uncomplicated spontaneous vaginal delivery two years ago. She has no relevant past medical or surgical history. She is currently taking prenatal vitamins and has no known drug allergies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 82 - 84
Publisher: Cambridge University Press
Print publication year: 2021

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References

Albright, BB, Shorter, JM, Mastroyannis, SA, et al. Gestational trophoblastic neoplasia after human chorionic gonadotropin normalization following molar pregnancy: a systematic review and meta-analysis. Obstet Gynecol 2020; 135: 1223.CrossRefGoogle ScholarPubMed
Lurain, JR. Gestational trophoblastic disease I: epidemiology, pathology, clinical presentation and diagnosis of gestational trophoblastic disease, and management of hydatidiform mole. Am J Obstet Gynecol 2010; 203(6): 531–9. doi:10.1016/j.ajog.2010.06.073.CrossRefGoogle ScholarPubMed
Padrón, L, Rezende Filho, J, Amim Junior, J, et al. Manual compared with electric vacuum aspiration for treatment of molar pregnancy. Obstet Gynecol 2018; 131(4): 652–9.CrossRefGoogle ScholarPubMed
Berkowitz, RS, Horowitz, NS, Elias, K. Hydatidiform mole: treatment and follow-up. In: Goff, B, ed., UpToDate. Available at: www.uptodate.com/contents/hydatidiform-mole-treatment-and-follow-up?search=hydatidiform%20mole&source=search_result&selectedTitle=1~48&usage_type=default&display_rank=1. (Accessed July 24, 2020.)Google Scholar
Ngan, HYS, Seckl, MJ, Berkowitz, RS, et al. Update on the diagnosis and management of gestational trophoblastic disease. Int J Gynaecol Obstet 2018; 143(Suppl 2): 7985.CrossRefGoogle ScholarPubMed
Gaffield, ME, Kapp, N, Curtis, KM. Combined oral contraceptive and intrauterine device use among women with gestational trophoblastic disease. Contraception 2009; 80(4): 363–71. doi:10.1016/j.contraception.2009.03.022.CrossRefGoogle ScholarPubMed
World Health Organization. Medical eligibility criteria for contraceptive use, 5th ed. 2015. Available at: https://apps.who.int/iris/bitstream/handle/10665/181468/9789241549158_eng.pdf?sequence=9 (Accessed July 24, 2020).Google Scholar
Curtis, KM, Tepper, NK, Jatlaoui, TC, et al. U.S. Medical Eligibility Criteria for Contraceptive Use, 2016. MMWR Recomm Rep. 2016; 65(3): 1103. doi:10.15585/mmwr.rr6503a1.Google ScholarPubMed
Berkowitz, RS, Goldstein, DP. Clinical practice. Molar pregnancy. N Engl J Med 2009; 360(16): 1639–45. doi:10.1056/NEJMcp0900696.CrossRefGoogle ScholarPubMed

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