Ver el código de «Molar pregnancy»

==Background==
*Type of gestational trophoblastic disease
**Neoplasm of placental hCG-producing trophoblast cells
**Non-invasive (invasive form is choriocarcinoma, can metastasize to brain, liver, lung)
*''Non-viable'' fertilized egg implants in uterine wall
**Complete: all chorionic villi are vesicular, swollen, with no embryonic development
**Partial: some vesicular chorionic villi, +/- (nonviable) embryonic development

==Clinical Features==
Due primarily to elevated levels of hCG
*[[Vaginal bleeding in pregnancy (less than 20wks)|Vaginal bleeding]] (75-95%)
*[[Hyperemesis gravidarum]] (26%]]
*[[Hypertension]], [[preeclampsia]]
**Suspect molar pregnancy when pregnancy-induced hypertension occurs at <24 weeks
*Larger than usual uterine size
*Signs/symptoms of [[hyperthyroidism]] (rarely)

==Differential Diagnosis==
*Vaginal bleeding
**[[Ectopic Pregnancy]], heterotopic pregnancy
**[[First Trimester Abortion]] (complete, threatened, incomplete, septic, etc.)
**Implantation bleeding
**Fibroids
**[[Cervicitis]]
**Gestational trophoblastic disease

{{NV in pregnancy DDX}}

==Evaluation==
[[File:Molar pregnancy.jpg|thumb|Molar pregnancy on ultrasound]]
*Serum hCG
*Evaluate for other causes of or electrolyte derangements due to [[vomiting]]
*Ultrasound: enlarged uterus with interspersed lucent and brighter areas ("snowstorm" appearance)

==Management==
*Ob/gyn consult
**Suction curettage as inpatient (due to risk of bleeding)
*Resuscitate if severe bleeding
*Treat [[preeclampsia]]
*Symptomatic resuscitation of nausea/vomiting

==Disposition==
*Admit

==See Also==
*[[Vaginal bleeding in pregnancy (less than 20wks)]]
*[[Hyperemesis gravidarum]]
*[[Pregnancy (main)]]

==External Links==

==References==
<references/>

[[Category:OBGYN]]