English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Two cases of complete hydatidiform mole with coexisting fetus are described. In the first case, the mole of this twin pregnancy displayed an aggressive behavior with early maternal onset of severe pre-eclampsia and lung and liver metastases. The second patient opted for termination of pregnancy prior to a possible onset of complications. Existing literature on this topic is also reviewed, in particular on the role of serum hCG levels to predict a favourable fetal prognosis. Importance: Because the combination of a viable fetus with a hydatidifom mole is a rare clinical entity, no specific guidelines are in place to help clinicians and patients confronted with this type of pregnancy. Objective: We try to define a parameter which may be useful in counseling patients whether or not to continue their pregnancy. Evidence acquisition: A literature search was performed in Pubmed using the search terms ‘hydatidiform mole’ AND ‘twin’ AND ‘pre-eclampsia’ OR ‘chemotherapy’. Results: We found a correlation between rising serum HCG in the second trimester, and fetal demise. This information can be taken into account when counseling a patient with complete hydatidiform mole with coexisting fetus as to whether or not to continue the pregnancy. Relevance: For clinicians and patients confronted with a complete hydatidiform mole with coexistent fetus, the trend in serum HCG in the second trimester could be of great use in decision-making.

obstetrics and gynaecology cases - reviews

Aggressive Complete Hydatidiform Mole Coexistent With A Normal Fetus During Pregnancy: Is There A Correlation Between Outcome, and Serum HCG Levels? A Report on 2 Cases and Review of the Literature