Ectopic Molar Pregnancy: Diagnostic Efficacy of Magnetic Resonance Imaging and Review of the Literature
Joint Authors
Yamada, Yasushi
Ohira, Satoshi
Yamazaki, Teruyuki
Shiozawa, Tanri
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-25
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Ectopic molar pregnancy is extremely rare, and preoperative diagnosis is difficult.
Our literature search found only one report of molar pregnancy diagnosed preoperatively.
Moreover, there is no English literature depicting magnetic resonance image (MRI) findings of ectopic molar pregnancy.
We report a case of ectopic molar pregnancy preoperatively diagnosed using MRI.
A literature review of 31 cases of ectopic molar pregnancy demonstrated that lesions have been found in the fallopian tube (19 cases, 61%), ovary (5 cases, 16%), cornu (3 cases, 10%), peritoneum (2 cases, 6%), uterine cervix (1 case, 3%), and cesarean scar (1 case, 3%).
Abdominal pain and abnormal vaginal bleeding were reported in 70% and 61% of the patients, respectively.
Twenty-one cases (67%) presented with rupture and hemoperitoneum.
All patients underwent surgical resection or dilatation and curettage.
Methotrexate therapy was performed in one case because residual trophoblastic tissue was suspected.
A second operation was performed in one case of ovarian molar pregnancy because serum hCG levels increased again after primary focal ovarian resection.
No patients developed metastatic disease or relapsed.
These findings suggest the prognosis of ectopic molar pregnancy to be favorable.
American Psychological Association (APA)
Yamada, Yasushi& Ohira, Satoshi& Yamazaki, Teruyuki& Shiozawa, Tanri. 2016. Ectopic Molar Pregnancy: Diagnostic Efficacy of Magnetic Resonance Imaging and Review of the Literature. Case Reports in Obstetrics and Gynecology،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1101594
Modern Language Association (MLA)
Yamada, Yasushi…[et al.]. Ectopic Molar Pregnancy: Diagnostic Efficacy of Magnetic Resonance Imaging and Review of the Literature. Case Reports in Obstetrics and Gynecology No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1101594
American Medical Association (AMA)
Yamada, Yasushi& Ohira, Satoshi& Yamazaki, Teruyuki& Shiozawa, Tanri. Ectopic Molar Pregnancy: Diagnostic Efficacy of Magnetic Resonance Imaging and Review of the Literature. Case Reports in Obstetrics and Gynecology. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1101594
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101594