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Hydatidiform mole: Management

Ross S Berkowitz, MD
Donald Peter Goldstein, MD
Neil S Horowitz, MD
Section Editors
Robert L Barbieri, MD
Barbara Goff, MD
Deputy Editors
Sandy J Falk, MD, FACOG
Sadhna R Vora, MD


Hydatidiform mole (HM) is part of a group of diseases classified as gestational trophoblastic disease (GTD), which originate in the placenta and have the potential to locally invade the uterus and metastasize. The pathogenesis of GTD is unique because the maternal tumor arises from gestational rather than maternal tissue [1].

HM is made up of two distinct entities, complete hydatidiform mole and partial hydatidiform mole. These differ on the basis of chromosomal pattern, gross and microscopic histopathology, and clinical presentation and outcome [2-4]. Molar pregnancies, although benign, are considered to be premalignant because they have the capability of developing into a malignancy. Malignant disease is referred to as gestational trophoblastic neoplasia (GTN); the histologic entities included in this group are:

Invasive mole


Placental site trophoblastic tumor

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Literature review current through: Nov 2017. | This topic last updated: Apr 14, 2017.
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