Complete hydatidiform mole coexisting with a twin live fetus: Clinical course

J. A. Hurteau, L. M. Roth, Jeanne Schilder, J. Sumners

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

A 33-year-old G4P0 white female presented for a pregnancy ultrasound at 9 weeks gestation and was found to have a complete hydatidiform mole coexisting with a live twin fetus (CHTF). The β-hCG level was 600,000 mIU/ml and the chest X ray was negative. The pregnancy was uneventfully terminated by suction curettage and oral contraceptives were prescribed. The initial β- hCG declined appropriately; however, it subsequently rose. The metastatic workup was negative and the patient was treated with weekly intramuscular methotrexate at 30 mg/m2. The hCG levels declined appropriately and then plateaued. Salvage chemotherapy with intraveuous actinomycin D at 1.25 mg/m2 every 14 days was started. The hCG level normalized after 3 cycles and the patient was free of disease at 1 year follow-up.

Original languageEnglish
Pages (from-to)156-159
Number of pages4
JournalGynecologic Oncology
Volume66
Issue number1
DOIs
StatePublished - Jul 1997

Fingerprint

Hydatidiform Mole
Fetus
Pregnancy
Vacuum Curettage
Dactinomycin
Oral Contraceptives
Methotrexate
Thorax
X-Rays
Drug Therapy

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Oncology

Cite this

Complete hydatidiform mole coexisting with a twin live fetus : Clinical course. / Hurteau, J. A.; Roth, L. M.; Schilder, Jeanne; Sumners, J.

In: Gynecologic Oncology, Vol. 66, No. 1, 07.1997, p. 156-159.

Research output: Contribution to journalArticle

Hurteau, J. A. ; Roth, L. M. ; Schilder, Jeanne ; Sumners, J. / Complete hydatidiform mole coexisting with a twin live fetus : Clinical course. In: Gynecologic Oncology. 1997 ; Vol. 66, No. 1. pp. 156-159.
@article{a93522b8313847beb4717d31434ab595,
title = "Complete hydatidiform mole coexisting with a twin live fetus: Clinical course",
abstract = "A 33-year-old G4P0 white female presented for a pregnancy ultrasound at 9 weeks gestation and was found to have a complete hydatidiform mole coexisting with a live twin fetus (CHTF). The β-hCG level was 600,000 mIU/ml and the chest X ray was negative. The pregnancy was uneventfully terminated by suction curettage and oral contraceptives were prescribed. The initial β- hCG declined appropriately; however, it subsequently rose. The metastatic workup was negative and the patient was treated with weekly intramuscular methotrexate at 30 mg/m2. The hCG levels declined appropriately and then plateaued. Salvage chemotherapy with intraveuous actinomycin D at 1.25 mg/m2 every 14 days was started. The hCG level normalized after 3 cycles and the patient was free of disease at 1 year follow-up.",
author = "Hurteau, {J. A.} and Roth, {L. M.} and Jeanne Schilder and J. Sumners",
year = "1997",
month = "7",
doi = "10.1006/gyno.1997.4728",
language = "English",
volume = "66",
pages = "156--159",
journal = "Gynecologic Oncology",
issn = "0090-8258",
publisher = "Academic Press Inc.",
number = "1",

}

TY - JOUR

T1 - Complete hydatidiform mole coexisting with a twin live fetus

T2 - Clinical course

AU - Hurteau, J. A.

AU - Roth, L. M.

AU - Schilder, Jeanne

AU - Sumners, J.

PY - 1997/7

Y1 - 1997/7

N2 - A 33-year-old G4P0 white female presented for a pregnancy ultrasound at 9 weeks gestation and was found to have a complete hydatidiform mole coexisting with a live twin fetus (CHTF). The β-hCG level was 600,000 mIU/ml and the chest X ray was negative. The pregnancy was uneventfully terminated by suction curettage and oral contraceptives were prescribed. The initial β- hCG declined appropriately; however, it subsequently rose. The metastatic workup was negative and the patient was treated with weekly intramuscular methotrexate at 30 mg/m2. The hCG levels declined appropriately and then plateaued. Salvage chemotherapy with intraveuous actinomycin D at 1.25 mg/m2 every 14 days was started. The hCG level normalized after 3 cycles and the patient was free of disease at 1 year follow-up.

AB - A 33-year-old G4P0 white female presented for a pregnancy ultrasound at 9 weeks gestation and was found to have a complete hydatidiform mole coexisting with a live twin fetus (CHTF). The β-hCG level was 600,000 mIU/ml and the chest X ray was negative. The pregnancy was uneventfully terminated by suction curettage and oral contraceptives were prescribed. The initial β- hCG declined appropriately; however, it subsequently rose. The metastatic workup was negative and the patient was treated with weekly intramuscular methotrexate at 30 mg/m2. The hCG levels declined appropriately and then plateaued. Salvage chemotherapy with intraveuous actinomycin D at 1.25 mg/m2 every 14 days was started. The hCG level normalized after 3 cycles and the patient was free of disease at 1 year follow-up.

UR - http://www.scopus.com/inward/record.url?scp=0031193874&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031193874&partnerID=8YFLogxK

U2 - 10.1006/gyno.1997.4728

DO - 10.1006/gyno.1997.4728

M3 - Article

C2 - 9234938

AN - SCOPUS:0031193874

VL - 66

SP - 156

EP - 159

JO - Gynecologic Oncology

JF - Gynecologic Oncology

SN - 0090-8258

IS - 1

ER -