Twin Pregnancy with Complete Hydatidiform Mole and Coexistent Fetus
DOI:
https://doi.org/10.53903/01212095.48Keywords:
Aneurysm, Gestational trophoblastic disease, Twin pregnancy, UltrasonicsAbstract
Included in the spectrum of gestational trophoblastic disease, as one of the least frequent entities, is the coexistence, in a biamniotic twin pregnancy, of a complete hydatidiform mole and a normal viable fetus. The diagnosis of this condition requires a careful and thorough ultrasonographic examination, which will help in excluding the two main differential diagnosis in this scenario: partial hydatidiform mole and mesenchymal placental dysplasia. By following the obstetric examination protocol, and using academic radiologic knowledge, the examiner might reach a precise diagnosis. Here we present a case of a twin pregnancy with complete hydatidiform mole and coexistent fetus, a rare finding. We also present a short literature review on the topic of clinical management, given the fact that this disease might be associated with pregnancy complications and high risk of malignant behavior
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Steller M, Genest DR, Bernstein MR, et al. Natural history of twin pregnancy with complete hydatidiform mole and coexisting fetus. Obstet Gynecol. 1994;83:35-42.
Lazarus E, Levine D. The first trimester, diagnostic ultrasound, quinta edición. Capítulo 30. 2018. pp. 1048-1087.
Shaaban A, Rezvani M, Haroune M, et al. Gestational trophoblastic disease: Clinical and imaging features. RadioGraphics. 2017;37:681-700.
Lipi LB, Philp L, Goodman AK. A challenging case of twin pregnancy with complete hydatidiform mole and co-existing normal live fetus – A case report and review of the literature. Gynecologic Oncology Reports. 2020;31:100519.
Peng HH, Huang KG, Chue HY, et al. Term delivery of a complete hydatidiform mole with a coexisting living fetus followed by successful treatment of maternal metastatic gestational trophoblastic disease. Taiwanese J Obstet Gynecol. 2014;53:397-400.
Nobuhara I, Harada N, Haruta N, et al. Multiple metastatic gestational trophoblastic disease after a twin pregnancy with complete hydatidiform mole and coexisting fetus, following assisted reproductive technology: Case report and literature review. Taiwanese J Obstet Gynecol. 2018;57:588-93.
Matsui H, Sekiya S, Hando T, Wake N, Tomoda Y. Hydatidiform mole coexis- tent with a twin live fetus: a national collaborative study in Japan. Humanit Rep. 2000;15:608-11.
Deng L, Yan X, Zhang J, Wu T. Combination chemotherapy for high-risk gestational trophoblastic tumour. Cochrane Database Syst Rev. 2009;15:CD005196.
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