Who usually suffers from invasive hydatidiform mole?

Perhaps most young couples do not know much about hydatidiform mole. This is a congenital abnormal embryo. The whole shape is connected by blisters, just like grapes. The blisters will slowly erode part of the uterine tissue. Some will completely penetrate the uterus and expand into the abdominal cavity. Therefore, the harm of hydatidiform mole is very great, and an induced abortion must be performed immediately. Then, who are the most likely to suffer from hydatidiform mole?

pathology

The villi of invasive hydatidiform mole can locally spread and invade the myometrium or blood vessels, and the blister-like tissue invades the deep myometrium, sometimes completely penetrates the uterine wall, and extends into the broad ligament or abdominal cavity.

Clinical manifestations

Most invasive hydatidiform moles occur within 6 months after the evacuation of the hydatidiform mole. Patients may present with irregular vaginal bleeding and may also have extrauterine metastatic lesions. After evacuation of the hydatidiform mole, the HCG level rises for 2 consecutive weeks or remains at a plateau for more than 3 weeks; 6 weeks after the evacuation of the hydatidiform mole, the blood HCG level remains high for more than 6 weeks.

Diagnosis and differential diagnosis

Invasive hydatidiform mole

If typical clinical manifestations or symptoms of metastatic lesions appear within six months after the removal of hydatidiform mole, the clinical diagnosis can be established in combination with auxiliary examinations.

Hydatidiform mole

The diagnosis can be made based on typical clinical manifestations and needs to be differentiated from miscarriage, twin pregnancy, polyhydramnios, and pregnancy complicated by uterine fibroids. Uterine curettage specimens must be sent for pathological examination.

Choriocarcinoma

If symptoms or metastatic lesions appear after miscarriage, delivery, or ectopic pregnancy, and HCG levels are elevated, choriocarcinoma can be diagnosed. If the disease occurs more than one year after hydatidiform mole, it can be clinically diagnosed as choriocarcinoma; if the disease occurs within six months to one year, both invasive hydatidiform mole and choriocarcinoma are possible, and differentiation requires histological examination.

Although hydatidiform mole may not seem serious, it is actually very harmful. Generally, no matter which type of hydatidiform mole occurs, abortion is required. For example, if there is a problem with the couple's eggs or sperm, it may cause hydatidiform mole. Ovarian hypoplasia may cause hydatidiform mole. Therefore, it is recommended that you must undergo a uterine curettage if you find a hydatidiform mole.