45 y/0 G5P4 (4014) molar pregnancy at 16 weeks age of gestat | Figure 1

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Obstetrics & Gynecology

45 y/0 G5P4 (4014) molar pregnancy at 16 weeks age of gestation s/p total abdominal hysterectomy

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Straightforward case but thought these were good textbook images. BHCG +ve, RIF Pain, Bleeding. Uncertain LMP. Second image is the uterus for the non radiology folks.

gray arrow pointing to normal uterus. Yellow to c section scar ectopic encompassing most of the lower uterin segment. Surgical removal required after failed methotrexate.

Quantitative BHCG > 200,000. "Cluster of grapes" appearance in endometrial canal consistent with gestational trophoblastic disease (molar pregnancy).

patient with persistently elevated hCG levels status post D&C for complete #Molar-pregnancy Thoughts on management? Patient desires fertility preservation.

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