Temporal Trends in the Frequency of Hydatidiform Mole in Lombardy, Northern Italy, 1996–2008

Parazzini, Fabio; Ricci, Elena; Cipriani, Sonia; Bulfoni, Giuseppe; Mangili, Giorgia; Chiaffarino, Francesça

doi:10.1097/igc.0b013e31823b3504

Cited by 11 publications

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“…The incidence of hydatidiform mole is varied, ranging from 1.5 to 6 per 1000 pregnancies in North America and Europe; in Italy the estimated frequency of HM over the 1996–2008 time period was 1 case every 935 pregnancies [ 2 , 3 ]. Data for GTN are more limited because the diagnosis is generally made clinically rather than on biopsy material.…”

Section: Introductionmentioning

confidence: 99%

Mental Representations of Illness in Patients with Gestational Trophoblastic Disease: How Do Patients Perceive Their Condition?

et al. 2016

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BackgroundGestational Trophoblastic Disease comprises a group of benign and malignant disorders that derive from the placenta. Using Leventhal’s Common-Sense Model as a theoretical framework, this paper examines illness perception in women who have been diagnosed with this disease.MethodsThirty-one women diagnosed with Gestational Trophoblastic Disease in a hospital in Italy were asked to complete the Illness Perception Questionnaire-Revised to measure the following: illness Identity, illness opinions and causes of Gestational Trophoblastic Disease.ResultsHigh mean scores were observed in the Emotional representations and Treatment control subscales. A significant difference emerged between hydatidiform mole patients and those with gestational trophoblastic neoplasia on the Identity subscale. A significant correlation emerged between “time since diagnosis” and the Treatment control subscale.DiscussionThis study is the first to investigate illness perception in Gestational Trophoblastic Disease. From a clinical perspective the results highlight the need for multidisciplinary support programs to promote a more realistic illness perception.

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Section: Introductionmentioning

confidence: 99%

Mental Representations of Illness in Patients with Gestational Trophoblastic Disease: How Do Patients Perceive Their Condition?

et al. 2016

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“…Wide regional variations in the incidence of HM have been reported, ranging from 0.5–1 per 1000 pregnancies in North America, Australia and Europe to 1.5–6 per 1000 pregnancies in South America [ 3 ]. In Italy, the estimated frequency of HM over the 1996–2008 time period was 1 case every 935 pregnancies [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

An Investigative Study into Psychological and Fertility Sequelae of Gestational Trophoblastic Disease: The Impact on Patients’ Perceived Fertility, Anxiety and Depression

et al. 2015

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ObjectivesGestational Trophoblastic Disease (GTD) comprises a group of disorders that derive from the placenta. Even if full recovery is generally expected, women diagnosed with GTD have to confront: the loss of a pregnancy, a potentially life-threatening diagnosis and delays in future pregnancies. The aim of the study is to evaluate the psychological impact of GTD, focusing on perceived fertility, depression and anxiety.Methods37 patients treated for GTD at San Raffaele Hospital, Milan, took part in the study. The STAI-Y (State-Trait Anxiety Inventory), the BDI-SF (Beck Depression Scale-Short Form) and the FPI (Fertility Problem Inventory) were used. Patients were grouped on the basis of presence of children (with or without), age (< or ≥35) and type of diagnosis (Hydatidiform Mole, HM, or Gestational Trophoblastic Neoplasia, GTN). Differences in the values between variables were assessed by a t-type test statistic. Three-way ANOVAs were also carried out considering the same block factors.ResultsThe study highlights that women suffering from GTN had higher depression scores compared to women suffering from HM. A significant correlation was found between anxiety (state and trait) and depression. Younger women presented higher Global Stress scores on the FPI, especially tied to Need for Parenthood and Relationship Concern subscales. Need for Parenthood mean scores significantly varied between women with and without children too.ConclusionsWe can conclude that fertility perception seems to be negatively affected by GTD diagnosis, particularly in younger women and in those without children. Patients should be followed by a multidisciplinary team so as to be supported in the disease’s psychological aspects too.

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“…1 In Italy, the incidence of HM is 1 case in 935 pregnancies. 2 Despite that the majority of molar pregnancies occur in women aged between 20 and 40 years, HM also occurs in older women. Several authors have reported that women older than 40 years are at increased risk of developing a molar pregnancy: at 40 years old, the risk is 1:423 pregnancies, and in women older than 50 years, it becomes 1:8.…”

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Role of Surgery in the Management of Hydatidiform Mole in Elderly Patients

Giorgione

Bergamini

Cioffi

et al. 2017

International Journal of Gynecological Cancer

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Temporal Trends in the Frequency of Hydatidiform Mole in Lombardy, Northern Italy, 1996–2008

Abstract: Between 1996 and 2008, the HM incidence in Lombardy showed a slight but significant decrease, mostly owing to the decrease of HM incidence among Asian women.

Cited by 11 publications

References 14 publications

Mental Representations of Illness in Patients with Gestational Trophoblastic Disease: How Do Patients Perceive Their Condition?

Mental Representations of Illness in Patients with Gestational Trophoblastic Disease: How Do Patients Perceive Their Condition?

An Investigative Study into Psychological and Fertility Sequelae of Gestational Trophoblastic Disease: The Impact on Patients’ Perceived Fertility, Anxiety and Depression

Role of Surgery in the Management of Hydatidiform Mole in Elderly Patients

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