Mola Hidatiforme: Apresentações Clínicas Benignas Da Doença Trofoblástica Gestacional

Updates in the Diagnosis of Gestational Trophoblast Disease

“…Pelvic Doppler ultrasound should be performed in all women with suspected GTD, it is necessary to confirm the absence of pregnancy, measurement of uterine size and volume, if the disease is disseminated and its vascularization [4]. The most found commonly found in the uterine cavity of CHM are multiple cystic images or vesicular, with heterogeneous and hyperechogenic content, also known as "snowflake storm", "bunch of grapes" or "granular" signs, which vary from 1 to 30 mm in size and are seen on first trimester transvaginal US [5] (Figure 2). In partial hydatidiform mole, an embryo and decidual area are filled by anechoic images [5] [6].…”

“…The most found commonly found in the uterine cavity of CHM are multiple cystic images or vesicular, with heterogeneous and hyperechogenic content, also known as "snowflake storm", "bunch of grapes" or "granular" signs, which vary from 1 to 30 mm in size and are seen on first trimester transvaginal US [5] (Figure 2). In partial hydatidiform mole, an embryo and decidual area are filled by anechoic images [5] [6]. Bellow, in Figure 3, an embryo and decidual area filled with anechoic images, which suggests MHP, being verified fetal death on the 14 th week of gestation, indicating induction of molar abortion.…”

“…It is important to highlight that the lung is the organ most affected by metastasis and CCA, the most common subtype. The initial exam of choice for evaluation of lung metastasis in GTN is a chest X-ray, computerized Tomography is an exam of fundamental importance for the investigation of metastatic in GTN, less in the vagina and brain [5].…”