tWO DIFFErENt (casE-aDaPtED) MaNaGEMENt stratEGIEs FOr MOLar PrEGNaNcY

The gestational trophoblastic disease, with its most frequent representative, the hydatidiform mole, has a particular place in the obstetrical pathology being the only neoplasm linked to the fecundation process and because of its uncommon and sometimes unpredictable gravity. We present two patients with hydatidiform mole (26 years old, 12 gestational weeks; 46 years old, 17 gestational weeks), with a somehow atypical description: no theca-lutein cysts, no serious digestive phenomena and no pregnancy-induced hypertension. Ultrasound was invaluable in diagnosis; beta-hCG levels were essential for the diagnosis and follow-up. Therapeutic strategy was quite different, adapted to the age, further desire for pregnancy and probable subsequent risks: evacuation of the uterine contents for the younger patient and hysterectomy for the 46 years old one. Decrease of beta-hCG levels was reassuring in both cases. Contraception completed the follow-up plan for the young, fertile patient.