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CASE REPORT: INVASIVE MOLE IN A PERIMENOPAUSAL WOMAN AND REVIEW OF THE LITERATURE
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Abstract
Background: Invasive mole is a common disease among Gestational trophoblastic diseases. The frequency of invasive mole ranks second after non-invasive mole. Invasive pregnancy destroys the uterus, invades blood vessels and metastasis to another organs. Invasive moles mostly occur in women of reproductive age, while they are extremely rare in perimenopause and postmenopause. Therefore, we report a rare case diagnosed with invasive mole at 55 years old. Case presentation: Female, perimenopausal age, prolonged bleeding, no history of mole or abnormal abortion. ßHCG is higher than normal. Ultrasound and post-operative pathology showed the following results: uterus and vascular invasion. FIGO stage I with a score according to 2000 FIGO is 10 points, belonging to the group with high risk factors. After surgery and chemotherapy with Methotrexat x4 cycles. The patient responded well to chemotherapy. Conclusion: Invasive pregnancy is rare in perimenopausal patients. Diagnosis is based on ultrasound, ßHCG and histopathological results. Treatment is mainly surgery and chemotherapy. The disease responds particularly well to chemotherapy. The disease has a good prognosis because of its response to chemotherapy.
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Keywords
Invasive mole, ßHCG, Gestational trophoblastic, perimenopause, postmenopause
References
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