A twin pregnancy with a hydatidiform mole and a coexisting live fetus: prenatal diagnosis, treatment, and follow-up

• Authors: Antonio Braga , Bruna Obeica , Heron Werner , Sue Yazaki Sun , Joffre Amim Júnior , Jorge Rezende Filho , Edward Araujo Júnior

Title variants

PL

Ciąża bliźniacza przebiegająca w postaci zaśniadu groniastego współwystępującego z żywym płodem: rozpoznanie, postępowanie oraz obserwacja po zakończeniu ciąży

• Languages of publication: EN

Abstracts

EN

Twin molar pregnancy with a hydatidiform mole and a coexisting live fetus is a rare form of gestational trophoblastic disease associated with an increased risk of obstetric complications and poor perinatal outcome. Prenatal diagnosis is essential for couple counseling and follow-up in Tertiary Reference Centers. Magnetic resonance imaging is important for the diagnostic differentiation of placental mesenchymal dysplasia and exclusion of myometrial invasion. Here we present a case of twin molar pregnancy with a hydatidiform mole and a coexisting live fetus diagnosed at gestational week 14 using two-dimensional (2D) and three-dimensional (3D) ultrasound and magnetic resonance imaging. We also describe the obstetric management and postmolar follow-up.

PL

Zaśniad groniasty stanowi łagodną postać ciążowej choroby trofoblastycznej (gestational trophoblastic disease, GTD)(1). W Brazylii ciążowa choroba trofoblastyczna stwierdzana jest 5–10 razy częściej(2) niż w Stanach Zjednoczonych i Europie(3,4). Zaśniad groniasty powstaje w wyniku nieprawidłowego zapłodnienia komórki jajowej i może przybierać dwie formy: zaśniadu groniastego całkowitego lub zaśniadu groniastego częściowego(1). Z klinicznego punktu widzenia taka reprodukcja materiału genetycznego może prowadzić do rozwinięcia się ciążowej neoplazji trofoblastu, która bez wdrożenia właściwego leczenia może skutkować śmiercią kobiety(1–4). Artykuł w wersji polskojęzycznej jest dostępny na stronie http://jultrason.pl/index.php/wydawnictwa/volume-17-no-71

Keywords

EN

hydatidiform mole; magnetic resonanceimaging; staging; twin pregnancy; ultrasound

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Communications
• Journal: Journal of Ultrasonography
• Year: 2017
• Volume: 17
• Issue: 71
• Pages: 299–305

Contributors

author

Antonio Braga

• Rio de Janeiro Trophoblastic Disease Center, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

author

Bruna Obeica

• Rio de Janeiro Trophoblastic Disease Center, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

author

Heron Werner

• Department of Radiology, Clínica de Diagnóstico por Imagem, Rio de Janeiro, Brazil

author

Sue Yazaki Sun

• Department of Obstetrics, Paulista School of Medicine – Federal University of São Paulo, São Paulo, Brazil

author

Joffre Amim Júnior

• Rio de Janeiro Trophoblastic Disease Center, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

author

Jorge Rezende Filho

• Rio de Janeiro Trophoblastic Disease Center, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

author

Edward Araujo Júnior

• Department of Obstetrics, Paulista School of Medicine – Federal University of São Paulo, São Paulo, Brazil

References

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• Document Type: article