Molar pregnancy, complete hydatiform mole
Clinical story
38 years old female, 14 weeks pregnant. Ultrasound showed and "empty ovum" and changes suspicious of hydatiform mole, and a uterine evacuation of abundant material was performed. At gross inspection, multiple small cysts were
recognized.
Comments
Blood clots and enlarged, irregular and avascular placental villi with considerable hydropic appearance are seen. The trophoblast layer is focally thickened and with numerous syncytiotrophoblasts, randomly distributed along the villous surface. No normal villi with polarized trophoblastic growth and vessels are found.
Learning goals
To recognize pathological villi of early pregnancy and have knowledge about the etiology and epidemiology.