Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature review

Gestational trophoblastic disease (GTD) commonly occurs in reproductive females, but is extremely rare in perimenopausal females. In this study, we reported a case of hydatidiform mole in a 48-year-old perimenopausal female admitted due to a giant uterine mass of 28 weeks’ gestational size. The seru...

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Main Authors: Wan Yan, Jiang Guoqing, Jin Ying, Hao Zengping
Format: Article
Language:English
Published: De Gruyter 2021-07-01
Series:Open Medicine
Subjects:
Online Access:https://doi.org/10.1515/med-2021-0315
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author Wan Yan
Jiang Guoqing
Jin Ying
Hao Zengping
author_facet Wan Yan
Jiang Guoqing
Jin Ying
Hao Zengping
author_sort Wan Yan
collection DOAJ
description Gestational trophoblastic disease (GTD) commonly occurs in reproductive females, but is extremely rare in perimenopausal females. In this study, we reported a case of hydatidiform mole in a 48-year-old perimenopausal female admitted due to a giant uterine mass of 28 weeks’ gestational size. The serum human chorionic gonadotropin (HCG) level ranged from 944 to 1,286 mIU/mL before treatments. The signs of preeclampsia and hyperthyroidism were relatively prominent. Hysterectomy was performed and chemotherapy was scheduled when the serum HCG level remained at a plateau, about 528 mIU/mL. The symptoms of preeclampsia and hyperthyroidism were relieved after treatment. Accordingly, we concluded that GTD could occur in perimenopausal woman and hysterectomy usually is the optimal treatment.
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spelling doaj.art-f45c1848c1684d518311004a4441915a2022-12-22T03:51:08ZengDe GruyterOpen Medicine2391-54632021-07-011611038104210.1515/med-2021-0315Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature reviewWan Yan0Jiang Guoqing1Jin Ying2Hao Zengping3Department of Obstetrics and Gynecology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaDepartment of Obstetrics and Gynecology, The First Affiliated Hospital of Tsinghua University, Beijing 100016, ChinaDepartment of Obstetrics and Gynecology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaDepartment of Obstetrics and Gynecology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaGestational trophoblastic disease (GTD) commonly occurs in reproductive females, but is extremely rare in perimenopausal females. In this study, we reported a case of hydatidiform mole in a 48-year-old perimenopausal female admitted due to a giant uterine mass of 28 weeks’ gestational size. The serum human chorionic gonadotropin (HCG) level ranged from 944 to 1,286 mIU/mL before treatments. The signs of preeclampsia and hyperthyroidism were relatively prominent. Hysterectomy was performed and chemotherapy was scheduled when the serum HCG level remained at a plateau, about 528 mIU/mL. The symptoms of preeclampsia and hyperthyroidism were relieved after treatment. Accordingly, we concluded that GTD could occur in perimenopausal woman and hysterectomy usually is the optimal treatment.https://doi.org/10.1515/med-2021-0315giant hydatidiform moleperimenopausalpreeclampsiahyperthyroidism
spellingShingle Wan Yan
Jiang Guoqing
Jin Ying
Hao Zengping
Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature review
Open Medicine
giant hydatidiform mole
perimenopausal
preeclampsia
hyperthyroidism
title Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature review
title_full Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature review
title_fullStr Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature review
title_full_unstemmed Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature review
title_short Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature review
title_sort perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism a case report and literature review
topic giant hydatidiform mole
perimenopausal
preeclampsia
hyperthyroidism
url https://doi.org/10.1515/med-2021-0315
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AT jinying perimenopausalgianthydatidiformmolecomplicatedwithpreeclampsiaandhyperthyroidismacasereportandliteraturereview
AT haozengping perimenopausalgianthydatidiformmolecomplicatedwithpreeclampsiaandhyperthyroidismacasereportandliteraturereview