Department of Obstetrics and Gynaecology, North Middlesex University Hospital, London, UK.
Int J Womens Health. 2012;4:423-5. doi: 10.2147/IJWH.S32893. Epub 2012 Aug 22.
The authors report a case in which a molar pregnancy was mistaken for an ectopic pregnancy in the early first trimester. This confusion delayed diagnosis and caused distress; follow-up led to the final diagnosis of complete hydatidiform mole. Correct preoperative diagnosis of molar pregnancy by ultrasound in early pregnancy may be tricky. It is important to obtain histological evidence to make the final diagnosis of gestational trophoblastic disease. While relatively rare, consideration of molar pregnancy in the differential diagnosis of early pregnancy loss may avoid unnecessary distress.
作者报告了一例早期妊娠误诊为异位妊娠的病例。这种混淆导致了诊断的延迟，并造成了困扰；随访导致了完全性葡萄胎的最终诊断。在孕早期通过超声正确诊断葡萄胎可能具有挑战性。获得组织学证据以做出妊娠滋养细胞疾病的最终诊断非常重要。虽然葡萄胎相对少见，但在早期妊娠丢失的鉴别诊断中考虑葡萄胎可能避免不必要的困扰。
