Is invasive hydatidiform mole easy to treat?

For patients with invasive hydatidiform mole, once the condition is diagnosed, a treatment plan should be developed quickly and treatment should be received as soon as possible. Before treatment, X-ray examinations, electrocardiograms or blood tests should be performed. These examinations can provide a detailed understanding of the patient's overall physical condition, thereby providing a more reliable basis for treatment. The symptoms of hydatidiform mole are complex and it is relatively difficult to treat.

The main symptom of the primary lesion is irregular vaginal bleeding, which usually begins a few months after the removal of the hydatidiform mole and the amount varies. Gynecological examination showed delayed uterine involution, the uterus had not returned to normal size 4 to 6 weeks after the evacuation of the hydatidiform mole, and luteinized cysts persisted. If the tumor tissue penetrates the uterus, it will cause abdominal pain and intra-abdominal bleeding. Sometimes a parametrial metastatic mass is palpated.

The symptoms and signs of metastatic lesions vary depending on the site of metastasis. The most common site is the lung, followed by the vagina and parauterine; brain metastasis is rare. In the early stage of lung metastasis, chest X-ray shows single or multiple small translucent circular shadows outside the lung field, which is similar to choriocarcinoma in late cases. Vaginal metastases appear as purple-blue nodules that rupture and bleed profusely. Typical cases of brain metastasis include headache, vomiting, convulsions, hemiplegia and coma. Once it occurs, the mortality rate is high.

In general, for those with mild chemotherapy reactions, "dactinomycin, fluorouracil, etc." can be used. The general condition is poor. For patients with severe chemotherapy reactions, "dactinomycin, fluorouracil, etc.", "penicillin, metronidazole, ciprofloxacin, etc." are used. For brain metastases and recurrent attacks, select “dactinomycin, fluorouracil, etc.”, “penicillin, metronidazole, ciprofloxacin, etc.”, “methotrexate, cisplatin, etc.” The treatment principle is chemotherapy as the main method and surgery as the auxiliary method, especially for invasive hydatidiform mole. Chemotherapy has almost completely replaced surgery, but surgical treatment still plays an important role in controlling complications such as bleeding and infection and removing residual or resistant lesions.

The above mainly introduces the symptoms of hydatidiform mole and some common treatments. In fact, hydatidiform mole can also be treated by vacuum aspiration curettage or hysterectomy. In addition, drug-induced labor is also a treatment method for hydatidiform mole. After treatment of hydatidiform mole, hcg often does not return to normal immediately after about 3 weeks, but takes about 2 to 3 months to slowly return to normal values.