Patient's question:
Detailed medical condition and consultation purpose: Had the uterus removed due to molar pregnancy and uterine fibroids. HCG level was 1860 at discharge. A week later, follow-up revealed HCG 3664. The next day, HCG was checked at 4130. Diagnosed with invasive mole. Metastasized to the lungs. The patient is not doing well. Question: What is the treatment for invasive mole? Is it life-threatening?Duration and course of the current illness: Hospitalized for 17 days after molar pregnancy removal.
Current general condition: Filled on the same day.
Medical history: None.
Previous diagnoses, treatments, and outcomes: Undergone one due to molar pregnancy.
Doctor's answer:
Hello: Cervical dilation and curettage are typically used to clear a molar pregnancy, and the grape-like tissue must be completely removed. Only in very few cases is it necessary to remove the uterus.After the surgery, the level of human chorionic gonadotropin (hCG) is measured to determine whether the molar pregnancy has been completely eliminated. Once the molar pregnancy is fully removed, the hormone level usually returns to normal within 8 weeks and remains normal. If a patient becomes pregnant shortly after the molar pregnancy is cleared, it can be difficult to distinguish the cause of the elevated hCG levels. Both pregnancy and residual tissue can cause this hormone level to rise. Therefore, it is recommended that patients with a molar pregnancy do not become pregnant again within one year after the tissue is removed.
Benign molar pregnancies generally do not require chemotherapy, but malignant molar pregnancies must be treated with chemotherapy. Commonly used drugs include methotrexate, bleomycin, or a combination of chemotherapy drugs.
In early stages, patients with mild conditions have a cure rate of 100%. Even in cases where the disease has widely spread, the cure rate can still reach 85%. Most patients can retain their fertility.