Ultrasonographic Evaluation of Molar Pregnancy: Prevalence and Sonological Characteristics in Patients
DOI:
https://doi.org/10.17720/a184e520Keywords:
Molar pregnancy, hydatidiform mole, complete hydatidiform mole, partial hydatidiform mole, ultrasonography, Gestational Trophoblastic disease (GTD)Abstract
Molar pregnancy, also known as hydatidiform moles, is one of the causes of maternal morbidity and mortality in women of reproductive age and presents mostly early in pregnancy. The aim of the study was to identify the prevalence and sonographic features of molar pregnancies. Using convenient, non-probability sampling, a descriptive study was carried out in Life Care Lab & Medical Diagnostic Center for six months. Data of 380 patients presenting with the sign and symptoms of molar pregnancy was collected. 7 of them experienced molar pregnancy, with 4 developing complete moles and 3 developing partial moles. Molar pregnancy was shown to be prevalent at the reproductive age limits, with most patients presenting before gestational age of 12 weeks. The most regularly presenting symptoms were vaginal bleeding, abdominal pain and elevated hCG levels while few patients were asymptomatic due to early detection by ultrasound. The most common ultrasonography findings were snowstorm appearance, theca lutein cysts, and uterine enlargement. Complete mole is distinguished by the lack of a gestation sac and a fetus, whereas partial mole is characterized by the occurrence of a gestation sac and a fetus. Molar pregnancy is premalignant demonstration of gestational trophoblastic disease in women at limits of reproductive age. Ultrasound has a well-established use for diagnosing the possibility of molar pregnancy. The risk of acquiring recurrent moles and postmolar gestational trophoblastic neoplasia is significant. Because of the elevated dangers, an ultrasound scan during the first trimester of a pregnancy is essential for a clear diagnosis. Many of the investigators have studied the role and efficiency of ultrasound in detection of molar pregnancies however the diagnostic criteria were unclear.
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