What are the symptoms of recurrent hydatidiform mole?

Molar pregnancy is extremely harmful to human health. Generally speaking, most molar pregnancy will recur, and some will worsen. Severe molar pregnancy may cause death. If molar pregnancy occurs, you must go to the hospital for relevant examinations in time. After pregnancy, women must have regular prenatal checkups so that problems can be discovered in time and then actively treated.

What are the symptoms of recurrent hydatidiform mole?

Primary lesion manifestation

First of all, irregular vaginal bleeding is the main symptom. In most patients, bleeding will occur a few months after the hydatidiform mole is removed, and the amount of bleeding is not fixed. During a gynecological examination, it can be found that the uterus is delayed in its involution. At the same time, the patient's uterus did not return to normal uterine size within 4-6 weeks after the evacuation of the molar pregnancy, and the persistence of lutein cysts also existed. If the tumor tissue penetrates the uterus, the patient will experience symptoms of intra-abdominal bleeding and abdominal pain.

Metastatic manifestations

Second, the patient's signs and symptoms will change with the location. Generally speaking, the most common site is the lung, followed by the patient's parauterine area and vagina; metastasis to the brain is relatively rare. In the early stages of lung metastasis, multiple small translucent circular shadows will appear, and in the late stages, they will be similar to choriocarcinoma. In addition, the metastatic lesions in the vagina will turn into purple-blue nodules, and when they rupture, the patient will experience heavy bleeding. After the brain metastasis occurs, the patient will experience hemiplegia, coma, and vomiting.

Once the diagnosis of hydatidiform mole is confirmed, the treatment method should be decided and treatment should be started as soon as possible. But before treatment, chest X-ray, electrocardiogram and routine blood tests should be done. There are four main treatments for hydatidiform mole:

1. Vacuum curettage

This method is the most effective and safest treatment method. The aspirate will be sent for pathological examination to determine whether it is benign or malignant, and a uterine contraction agent will be added to the intravenous drip to help the uterus contract. However, it should be noted that the uterus of such patients is very soft, and caution must be exercised when detecting the size of the uterus, suctioning, and scraping, otherwise it is easy to pierce the uterine wall.

2. Hysterectomy

This method can be used for patients who are older or do not want to have children. However, in the case of hydatidiform mole, the uterine blood vessels will become congested, and you must be careful about heavy bleeding during surgery. After hysterectomy, hydatidiform mole may still develop GTD, so continued follow-up is necessary.

3. Hysterotomy

This method involves cutting open the uterus and removing the hydatidiform mole tissue.

4. Medical induction

The latter two methods are likely to cause the transfer of villous cells and are therefore rarely used.

Usually, hCG levels will drop to normal levels within 2-3 weeks after delivery or miscarriage. However, after treatment, it takes 2-3 months for hydatidiform mole to return to normal values. After treatment, 80% of complete hydatidiform mole will return to normal, 15% will become invasive hydatidiform mole, and 5% will develop into choriocarcinoma. Only 5% of partial hydatidiform mole develops into malignant tumor. Therefore, no matter what type of hydatidiform mole is, it is necessary to continue tracking for one year after treatment. You should go to the hospital to check HCG and urine. After the uterine curettage, you should have a urine test once a week until the urine shows a negative result. Gradually change to once a month, once every six months, once a year, and until two years later to prevent malignancy. In addition, special attention should be paid to the fact that the patient cannot become pregnant again within one year of follow-up. It is very dangerous to become pregnant again in a short period of time, and the recurrence of hydatidiform mole should be avoided.

Some women become frightened when talking about hydatidiform mole, but in fact hydatidiform mole is a benign disease. Even if it unfortunately develops into a malignant tumor, it is a highly curable malignant tumor. As long as you follow the doctor's instructions and treatment, hydatidiform mole and this series of diseases are not enough to be too scary.