Successful Primary Treatment of a Hydatidiform Mole with Methotrexate and EMACO

الملخص EN

Background.

The preferred treatment method of most hydatidiform moles is suction aspiration.

In rare circumstances uterine abnormalities may preclude surgical treatment.

Case.

We report a case of complete molar pregnancy successfully treated with methotrexate followed by EMA/CO.

A 38-year-old woman with a complete hydatidiform mole and multiple uterine fibroids underwent a failed attempt at suction aspiration.

Following treatment with methotrexate, a nonmetastatic persistent trophoblastic tumour developed.

Six cycles of EMA/CO led to complete remission.

Conclusion.

We propose that primary treatment of molar pregnancies with chemotherapy is a useful treatment option in cases where uterine abnormalities interfere with suction aspiration.