Clinical Characteristics of Hydatidiform Mole Patients in Srinagarind Hospital and Problems in Management.

Abstract

Thirty six pathologically proved hydatidifoam mole patients during the period from December 1980 to October 1986 were studied. The incidence of the disease  was 1:415 hospital deliveries. The age ranges with the highest incidences were between 16-20 and 26-30 years old. Most of the patients were farmers and had low incomes, with the gravidity of 1-4 and parity of 0-2 .There were 86.11% of the patients with on history of any contraception. The most common symptoms were bleedings ( 91.67% ). The duration of amenorrhea were between 16-19 weeks in 30.56% of the patients. There were 66.67% of the patients with large-for-date uterine size and 13.89% of the patients had theca lutein cysts. One half of the patients were diagnosed by ultrasonography. The evacuation procedures composed largely of suction curettage and dilatation curettage. The major complications of treatments were incomplete evacuations. The incidence of malignant GTD was 17.24 % . Only 8 patients ( 22.22 % ) completely attended the follow up program. The major problems in management of the patients were the problems of quantitative urinary HCG test and the large proportion of the patients not attending follow up program after evacuation of the moles.