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Pathology Unit V
Female Reproductive Tract: Placental Diseases
12
Pathology
Graduate
03/06/2013

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Term
incidence of hydatidiform mole
Definition
1-1.5 per 2000 pregnancies in the US, more common before age of 20 and after 40
Term
pathogenesis of hydatidiform mole.
Definition
: abnormal fertilization, entire genetic content is supplied by two sperm, yielding diploid cells containing only paternal chromosomes
Term
gross features of hydatidiform mole.
Definition
hydrophic swelling, edematous stroma, proliferation of both cytotrophoblasts
Term
clinical course of hydatidiform mole.
Definition
elevation of BHCG in materal blood and absence of fetal heart sounds are typical
Term
relationship of HCG levels to hydatidiform mole
Definition
elevated
Term
relationship of hydatidiform mole to choriocarcinoma
Definition
50% of choriocarcinoma arise from moles
Term
clinical significance of invasive mole (chorioadenoma destruens).
Definition
difficult to remove, chemotherapy
Term
definition of invasive mole (chorioadenoma destruens)
Definition
cellular mole that penetrates and may perforate the uterine wall
Term
incidence of choriocarcinoma
Definition
rare in the western hemisphere, 1 per 30,000 pregnanciesi n the US. More common in Africa and asia
Term
definition of choriocarcinoma
Definition
aggressive malignant tumor which arises from gestational chorionic epithelium or totipotential cells within the gonads
Term
clinical course of choriocarcinoma
Definition
arise from moles or abortion, abnormal conception, bloody, brown discharge + rising BHCG in blood or urine, no uterine enlargement, higher BHCG than mole
Term
difference between gestational and nongestational choriocarcinoma
Definition
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