Most common symptom: vaginal bleeding around 6 to 16 weeks, 80–90% of CM, 75% of PM (1)
Hyperemesis (8% CM) (1)
History of missed or incomplete abortion (90% of patients with PM) (1)
Chemotherapy with or without surgery are mainstay therapies based on stage and risk score.
Consider the following potential indications for initiating chemotherapy:
Goal: Achieve three consecutive weekly undetectable hCG levels after chemotherapy (3).
Monthly serum quantitative hCG l...
O01.0 Classical hydatidiform mole
O01.1 Incomplete and partial hydatidiform mole
O01.9 Hydatidiform mole, unspecified
O01 Hydatidiform mole
C58 Malignant neoplasm of placenta
D39.2 Neoplasm of u...
High levels of quantitative HCG levels should arise suspicion for GTD.
Pelvic ultrasound preferred modality for evaluation of suspected GTD
Staging and risk score directs therapy type.
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