Japaraj R P, Sivalingam N
Department of Obstetrics and Gynaecology, General Hospital Ipoh, West Malaysia.
Singapore Med J. 2000 Mar;41(3):126-8.
Hydatidiform mole with a coexistent fetus is a rare occurrence with an incidence of I per 22,000-100,000 pregnancies. It is associated with persistent gestational trophoblastic tumour. Hence an early and correct diagnosis is imperative to plan subsequent management of such patients. We report a case of a primigravida who presented with vaginal bleeding at early second trimester. Expectant management was carried out for her pregnancy which finally ended in an abortion. The pathology, clinical findings and current management of this rare entity is discussed.
葡萄胎合并存活胎儿极为罕见,发生率约为每22,000 - 100,000次妊娠中有1例。它与持续性妊娠滋养细胞肿瘤相关。因此,早期正确诊断对于规划此类患者的后续治疗至关重要。我们报告一例初产妇,在妊娠中期早期出现阴道出血。对其妊娠进行了期待治疗,最终以流产告终。本文讨论了这一罕见病例的病理、临床表现及当前治疗方法。