PREVIOUS histological studies on trophoblast tumours (Park and Lees, 1950;Hou and Pang, 1956) have made little reference to the maternal reaction around them, except for a recent paper by Elston (1969) who described the cellular reaction to choriocarcinoma. Current observations that most hydatidiform moles (Loke, 1969) and also choriocarcinomas (Tominaga and Page, 1966) are chromatin positive have focused attention on the possibility that there may be a variation in the behaviour of trophoblast tumours of differing chromatin status.This paper presents the findings obtained in a histological study of chromatin positive and negative hydatidiform moles with particular reference to the uterine reaction towards them. A similar analysis was also made on choriocarcinomas for comparison.
MATERIALThe material was collected from the Pathology Division of the Institute for Medical Research, Malaya. There were 13 cases of hydatidiform moles with accompanying uteri removed by hysterectomy and one case of ovarian mole. In addition, there were 105 hydatidiform moles which were spontaneously aborted. At the same time, there were 7 cases of uterine choriocarcinoma and one case where the tumour was found in the fallopian tube.
RESULTS