Invasive molar pregnancy in a woman aged 54 years. A case report

A. Ionescu, M. Bragaru, M. Dimitriu, I. Tarcomnicu, C. Vladescu, M. Banacu

Abstract: We reported a 54-year-old patient with a complete hydatidiform mole invasive in myometrium. This diagnostic was suggested by irregular vaginal haemorrhage, amenorrhea and reduced nausea. The paraclinical investigations which suggest the diagnosis were: pelvic ultrasound and level of serum beta-human chorionic gonadotropin (β-hCG). Endovaginal ultrasound revealed enlarged uterus volume, with diameter of 12/15/8 cm, and the presence of multiple nodular formations located intramural and subserosal and a mass with Doppler rich blood supply through myometrium and endometrium. The level of β-hCG was 28099.00 mIU/L. The treatment was abdominal hysterectomy and bilateral salpingo-oophorectomy. Anatomopathological report revealed a complete invasive mole and endometrial polyp. After the surgical intervention the patient was treated with methotrexate as prophylactic chemotherapy recommended by oncologists because of the invasive character of mole and age of patient. The complete invasive mole is a benign tumor that is characterized by abnormal proliferation of trophoblast and is locally invasive. Developing pregnancy rate in perimenopause period is very rare and most of the pregnancies that occur at this age are abnormal, spontaneous abortion occurring most often. We choose to report this case to emphasize that this condition can occur in a relatively advanced age, especially during perimenopause period.
DOI:10.18643/gieu.2016.112

Keywords: molar pregnancy, perimenopause, beta-human chorionic gonadotropin.