hydatidiform mole…

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uterus, normal uterine anatomy, cut section, hydatid mole, molar pregnancy, a hydatidiform mole, rare mass, growth, form inside the uterus, beginning of a pregnancy, choriocarcinoma, a hydatidiform mole results from over-production, the tissue that is supposed to develop, placenta, placenta, nourishes a fetus, pregnancy, tissues develop into a mass, mass, made up of placental material that grows uncontrolled, no fetus at, not completely understood, potential causes, defects, in the egg, abnormalities, the uterus, nutritional deficiencies, women under 20, over 40 years of age have a higher risk, risk factors include diets low in protein, folic acid, carotene, vaginal bleeding in pregnancy, first trimester, nausea, vomiting, severe, require hospitalization in 10% of cases, an abnormal growth, in the size, the uterus, the stage, the pregnancy, excessive growth in approximately 1/2 of cases, smaller-than-expected growth in approximately 1/3 of cases, symptoms of hyperthyroidism, rapid heart rate, restlessness, nervousness, heat intolerance, unexplained weight loss, loose stools, trembling hands, skin warmer, moist than usual, symptoms similiar to preeclampsia that occur, in the 1st trimester, in the 2nd trimester, always indicates hydatidiform mole, preeclampsia is extremely rare this early in normal pregnancies, high blood pressure, swelling in feet, ankles, legs, proteinuria, all symptoms occur in conjunction, a potential, suspected, confirmed pregnancy, a pelvic examination, signs similar to a normal pregnancy, the uterine size abnormal, fetal heart tones, absent, additionally, bleeding noted, tests typically, measurement of serum hcg to confirm pregnancy, repeated hcg measurements, monitor the rate, consistency of decline, a hydatidiform mole is suspected, an ultrasound, the pelvis, a chest x-ray, abdominal ct, mri, patients, tests, transvaginal ultrasound, hcg, quantitative, a miscarriage, does not occur, diagnosis is confirmed, a therapeutic abortion is performed by suction curettage, d, c, following either case, serum hcg levels, monitored to assure they return to a normal, non-pregnant level, a hysterectomy an option, older women who, not desire future pregnancies, than 80% of hydatidiform moles, benign, non-cancerous, outcome after treatment, excellent, close follow-up is essential, highly effective means of contraception, recommended to avoid pregnancy, at least 6-12 months, in 10-15% of cases, hydatidiform moles, develop into invasive moles, intrude so far, uterine wall that hemorrhage, complications develop, in 2-3% of cases, hydatidiform moles, develop into choriocarcinoma, malignant, rapidly growing, metastatic, spreading, form of cancer, despite these factors, indicate a poor prognosis, rate of cure after treatment, chemotherapy is high, over 90% of women, malignant, non-spreading cancer, able to survive, retain ability to have children, in those, metastatic, spreading, cancer, remission remains at 75-85%, the ability to have children, lost, lung insufficiency, develop after evacuation, the uterus uterus enlarges to greater than 16 weeks gestational size, call obstetrician, suspect a hydatidiform mole, have symptoms suggestive of preeclampsia, severe swelling, in the legs, feet, abdominal pain, high blood pressure, see health care provider, rapidly, become a life-threatening emergency, adequate nutrition, reduce the risk.