A 26-year-old woman presents to the GP 3 weeks after a surgical evacuation for a complete hydatidiform mole. Her serum beta-hCG at the time of diagnos...

Question

A 26-year-old woman presents to the GP 3 weeks after a surgical evacuation for a complete hydatidiform mole. Her serum beta-hCG at the time of diagnosis was 250,000 IU/L. She is currently well with no bleeding. Which is the single most important aspect of follow-up?

Accepted Answer

Registration with a specialist trophoblastic disease centre and serial serum hCG monitoring

Answer

No follow-up is needed as the mole has been evacuated

Answer

Repeat pelvic ultrasound in 6 weeks

Answer

Commence chemotherapy prophylactically

Answer

Arrange a CT chest to exclude metastases

uk-drcog MCQ (SBA): Hydatidiform Mole Follow-up

A 26-year-old woman presents to the GP 3 weeks after a surgical evacuation for a complete hydatidiform mole. Her serum beta-hCG at the time of diagnosis was 250,000 IU/L. She is currently well with no bleeding. Which is the single most important aspect of follow-up?