A case report of a patient with 12 consecutive complete molar pregnancies

Abstract

Recurence is a rare complication of hydatidiform mole, although it is serious because the chances of a subsequent term pregnancy decrease, the incidence of a further episode increases, and the risk of malignancy is higher. We report a 38‐year‐old woman presenting at 10 weeks gestation with a history of 11 previous consecutive molar pregnancies. Ultra‐sound scan revealed a molar pregnancy treated by suction evacuation of the uterus. Histology showed a complete mole with a karyotype of 46 XX. The patient refused sterilization as she wished to continue to attempt to have a child and remains well at follow‐up with no evidence of persistent trophoblastic disease. Patients with a complete hyaditidiform mole should be informed about the possibility of recurrence including its adverse effect on future obstetric outcome and greater malignant potential.