par Shahabi, Shohreh ;Naome, Geneviève;Cobin, Laurence;Verougstraete, Anne ;Masters-Watkins, Louise;Zengbe, Virginie ;Noël, Jean Christophe ;Avni, Efraim ;donner, catherine ;Verhest, Alain ;Foulon, Walter;Rodesch, Frédéric
Référence Journal of reproductive medicine, 42, 11, page (756-760)
Publication Publié, 1997-11
Référence Journal of reproductive medicine, 42, 11, page (756-760)
Publication Publié, 1997-11
Article révisé par les pairs
Résumé : | BACKGROUND: Multiple pregnancies consisting of a complete hydatidiform mole and coexisting fetuses are relatively rare but may become more common due to the increasing use of ovulation induction agents. CASES: We report on a twin and a triplet pregnancy, conceived using clomiphene citrate, with contrasting outcomes. The twin pregnancy resulted in a term delivery of a healthy singleton and the triplet pregnancy in a termination at 17 weeks followed by the development of choriocarcinoma. CONCLUSION: The few cases available suggest that a subgroup of complete moles follows a more benign course and can be managed conservatively, allowing the pregnancy to go to term with appropriate follow-up, whereas other cases follow a more aggressive course. Larger case series are needed to develop definitive protocols. |