invasive mole
Last reviewed 01/2018
This is a locally invasive form of hydatidiform mole. It accounts for 5-10% of all molar pregnancies and for the majority of cases of a persistently raised á-hCG following molar evacuation.
Rupture through the uterus is relatively common. Rarely, metastasis to more distant sites such as the vagina or lungs may occur.
Treatment is by evacuation and chemotherapy. Hysterectomy may be indicated in patients over the age of 40 years.