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Ege Journal of Medicine
2005, Cilt 44, Sayı 2, Sayfa(lar) 127-130
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Mustafa Cosan TEREK1, Levent AKMAN1, Osman ZEKİOGLU1, Yılmaz DİKMEN1, Yıldız ERHAN1, Mustafa ULUKUŞ1
1Ege Üniversitesi Tıp Fakültesi Kadın Hastalıkları ve Doğum AD, İzmir
2Ege Üniversitesi Tıp Fakültesi Patoloji AD, İzmir
Keywords: mole, invasive mole, metastasis

Although invasive mole is seen in fertil young women rarely, because of fatal outcomes it is important to treat it rapidly.

We presented 37-year-old and 42 –year-old patient with vaginal bleeding after endometrial curettage and 25-year-old patient who has a continuous high level of human chorionic gonadotropin (hCG) after endometrial curettage. We diagnosed invasive mole and performed chemotherapy. We performed hysterectomy to the two patients who completed the parity and follow-up of the patient which hCG value is negative and wishes to preserve fertility.

After molar pregnancy curratege, 15-20% patients can develop postmolar gestational trophoblastic diseaes . The vaginal bleeding that continues after molar pregnancy curettage, high or not decrease value of hCG and the persistant theca lutein cysts are the most frequency findigs. The patients must be researched for metastasis. Usually, after curettage chemotherapy is necessary and sometimes hysterectomy can be done.

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