Complete Hydatidiform Mole with Theca Lutein Cysts: Classic USG and MR Imaging Spectrum
A 26-year-old married G2 P2 woman presented with four months of amenorrhoea, abdominal pain, and vaginal bleeding, along with a history of passing grape-like lesions during vaginal bleeding. On examination, the uterus was approximately 14-16 weeks gestation. Transabdominal pelvic ultrasound revealed...
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JCDR Research and Publications Private Limited
2024-03-01
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| Online Access: | https://www.jcdr.net/articles/PDF/19153/67104_CE[Ra1]_F(SL)_Ref_PAT(SL)_QC(KK_SL)_PF1(VD_SS)_PFA_NC(KM)_PB(VD_KM)_PN(KM).pdf |
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| author | Sagar Vitthal Gund Suresh Vasant Phatak Kajal Mitra Deepali Mohan Trimukhe |
| author_facet | Sagar Vitthal Gund Suresh Vasant Phatak Kajal Mitra Deepali Mohan Trimukhe |
| author_sort | Sagar Vitthal Gund |
| collection | DOAJ |
| description | A 26-year-old married G2 P2 woman presented with four months of amenorrhoea, abdominal pain, and vaginal bleeding, along with a history of passing grape-like lesions during vaginal bleeding. On examination, the uterus was approximately 14-16 weeks gestation. Transabdominal pelvic ultrasound revealed that the uterus measured 18.5×13.6×6.4 cm, appeared enlarged, bulky in size, shape, and echo pattern with multiple cystic lesions showing a snowstorm appearance [Table/Fig-1]. No foetal parts were identified within it. Bilateral ovaries appeared enlarged with variable sizes of multiloculated cysts within, known as theca lutein cysts [Table/Fig-2]. Elevated levels of beta-Human Chorionic Gonadotropin (β-HCG) around 105000 mIU/mL were present. Consequently, a Magnetic Resonance Imaging (MRI) of the pelvis was performed to detect any myometrial invasion and to confirm the ultrasound findings. No evidence of myometrial invasion was noted on the MRI. The mass showed high signal intensity relative to the myometrium and demonstrated low intensity on the T1-
Sagar Vitthal Gund1, Suresh Vasant Phatak2, Kajal Mitra3, Deepali Mohan Tr imukhe4
Keywords: Amenorrhoea, Beta-human chorionic gonadotrophin,
Gestational trophoblastic disease, Magnetic resonance imaging, Ultrasonography
[Table/Fig-1]: Transabdominal ultrasound image shows an enlarged uterus containing a complex echogenic intrauterine mass containing several small cystic areas (white arrow). (Snowstorm appearance).weighted image [Table/Fig-3]. It showed high intensity on the T2-weighted image with a large number of internal cysts also visible [Table/Fig-4]. Additionally, bilateral ovarian enlargement with variable sized multiloculated cysts known as theca lutein cysts was observed [Table/Fig-5]. Surgery was performed, confirming the diagnosis of a complete hydatidiform mole. |
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| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-07T15:35:09Z |
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| spelling | doaj.art-c0e8766a29f9464e8f0aaa45161c91f22024-03-05T11:41:42ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-03-011803010210.7860/JCDR/2024/67104.19153Complete Hydatidiform Mole with Theca Lutein Cysts: Classic USG and MR Imaging SpectrumSagar Vitthal Gund0Suresh Vasant Phatak1Kajal Mitra2Deepali Mohan Trimukhe3Junior Resident, Department of Radiodiagnosis, N.K.P. Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.Professor, Department of Radiodiagnosis, N.K.P. Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.Professor, Department of Radiodiagnosis, N.K.P. Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.Junior Resident, Department of Radiodiagnosis, N.K.P. Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India.A 26-year-old married G2 P2 woman presented with four months of amenorrhoea, abdominal pain, and vaginal bleeding, along with a history of passing grape-like lesions during vaginal bleeding. On examination, the uterus was approximately 14-16 weeks gestation. Transabdominal pelvic ultrasound revealed that the uterus measured 18.5×13.6×6.4 cm, appeared enlarged, bulky in size, shape, and echo pattern with multiple cystic lesions showing a snowstorm appearance [Table/Fig-1]. No foetal parts were identified within it. Bilateral ovaries appeared enlarged with variable sizes of multiloculated cysts within, known as theca lutein cysts [Table/Fig-2]. Elevated levels of beta-Human Chorionic Gonadotropin (β-HCG) around 105000 mIU/mL were present. Consequently, a Magnetic Resonance Imaging (MRI) of the pelvis was performed to detect any myometrial invasion and to confirm the ultrasound findings. No evidence of myometrial invasion was noted on the MRI. The mass showed high signal intensity relative to the myometrium and demonstrated low intensity on the T1- Sagar Vitthal Gund1, Suresh Vasant Phatak2, Kajal Mitra3, Deepali Mohan Tr imukhe4 Keywords: Amenorrhoea, Beta-human chorionic gonadotrophin, Gestational trophoblastic disease, Magnetic resonance imaging, Ultrasonography [Table/Fig-1]: Transabdominal ultrasound image shows an enlarged uterus containing a complex echogenic intrauterine mass containing several small cystic areas (white arrow). (Snowstorm appearance).weighted image [Table/Fig-3]. It showed high intensity on the T2-weighted image with a large number of internal cysts also visible [Table/Fig-4]. Additionally, bilateral ovarian enlargement with variable sized multiloculated cysts known as theca lutein cysts was observed [Table/Fig-5]. Surgery was performed, confirming the diagnosis of a complete hydatidiform mole.https://www.jcdr.net/articles/PDF/19153/67104_CE[Ra1]_F(SL)_Ref_PAT(SL)_QC(KK_SL)_PF1(VD_SS)_PFA_NC(KM)_PB(VD_KM)_PN(KM).pdfamenorrhoeabeta-human chorionic gonadotrophingestational trophoblastic diseasemagnetic resonance imagingultrasonography |
| spellingShingle | Sagar Vitthal Gund Suresh Vasant Phatak Kajal Mitra Deepali Mohan Trimukhe Complete Hydatidiform Mole with Theca Lutein Cysts: Classic USG and MR Imaging Spectrum Journal of Clinical and Diagnostic Research amenorrhoea beta-human chorionic gonadotrophin gestational trophoblastic disease magnetic resonance imaging ultrasonography |
| title | Complete Hydatidiform Mole with Theca Lutein Cysts: Classic USG and MR Imaging Spectrum |
| title_full | Complete Hydatidiform Mole with Theca Lutein Cysts: Classic USG and MR Imaging Spectrum |
| title_fullStr | Complete Hydatidiform Mole with Theca Lutein Cysts: Classic USG and MR Imaging Spectrum |
| title_full_unstemmed | Complete Hydatidiform Mole with Theca Lutein Cysts: Classic USG and MR Imaging Spectrum |
| title_short | Complete Hydatidiform Mole with Theca Lutein Cysts: Classic USG and MR Imaging Spectrum |
| title_sort | complete hydatidiform mole with theca lutein cysts classic usg and mr imaging spectrum |
| topic | amenorrhoea beta-human chorionic gonadotrophin gestational trophoblastic disease magnetic resonance imaging ultrasonography |
| url | https://www.jcdr.net/articles/PDF/19153/67104_CE[Ra1]_F(SL)_Ref_PAT(SL)_QC(KK_SL)_PF1(VD_SS)_PFA_NC(KM)_PB(VD_KM)_PN(KM).pdf |
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