Clinical Features and Diagnosis and Treatment of Ectopic Hydatidiform Mole in Early Pregnancy：Report of Two Cases

doi:10.12114/j.issn.1007-9572.2019.00.681

Abstract

Abstract: Ectopic hydatidiform mole can cause serious complications in clinical practice.Its incidence is extremely low，and it is easily to be missed and misdiagnosed.This article reports the clinical manifestations and pathological findings of two cases with ectopic hydatidiform mole.The first case was partial hydatidiform mole，and the second case was complete hydatidiform mole with cervical malignant tumor.Both cases were clinically characterized and firstly treated as ectopic pregnancy，resulting in misdiagnosis and therapeutic error.Both cases were treated by operation，and hydatidiform mole was diagnosed by pathological examination after the operation.After the follow-up and additional treatment，both cases were cured.Both the diagnosis and treatment of two cases were insufficient.Combined with relevant literature，this paper analyzes and summarizes medical records to expound typical clinical manifestations and the latest treatment progress of ectopic hydatidiform mole，in order to arouse the attention of clinicians and provide support for its early diagnosis and treatment.

Key words: Pregnancy, molar；Pregnancy, ectopic；Pathology

摘要： 异位葡萄胎在临床上可以引起严重的并发症，其发病率极低，且易被漏诊、误诊。本文报道了2例异位葡萄胎患者的临床表现及病理诊断结果。患者1为部分性葡萄胎，患者2为完全性葡萄胎合并宫颈恶性肿瘤，两例患者临床上均表现为异位妊娠，并首先按照异位妊娠治疗，造成了误诊、误治；均采取手术治疗，术后病理检查确诊为异位葡萄胎。后续又补充治疗，得以痊愈。以上两例患者的诊断和治疗上均有欠缺，本文结合相关文献对病例资料进行分析总结，阐述异位葡萄胎典型临床表现和最新治疗研究进展，以期引起临床医师的重视，为早期诊断及治疗提供支持。

关键词: 妊娠, 葡萄胎；妊娠, 异位；病理学

LI Chanjuan,ZHOU Caiyun. Clinical Features and Diagnosis and Treatment of Ectopic Hydatidiform Mole in Early Pregnancy：Report of Two Cases　[J]. Chinese General Practice, 2020, 23(15): 1961-1965. DOI: 10.12114/j.issn.1007-9572.2019.00.681.
李婵娟,周彩云. 异位葡萄胎妊娠早期临床特点及诊疗：附二例报道[J]. 中国全科医学, 2020, 23(15): 1961-1965. DOI: 10.12114/j.issn.1007-9572.2019.00.681.

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