Frequent question: Do you need chemotherapy for molar pregnancy?

When do you need chemo for molar pregnancy?

Even though there is no embryo, the growth triggers symptoms of pregnancy. Women with high, although decreasing human chorionic gonadotropin (hCG) concentrations can be treated with chemotherapy six months following molar pregnancies.

Does a molar pregnancy cause cancer?

If not treated, a molar pregnancy can be dangerous to the woman. It sometimes can cause a rare form of cancer. A molar pregnancy is a kind of gestational trophoblastic disease (also called GTD). This is a group of conditions that cause tumors to grow in the uterus.

What type of chemotherapy is used for molar pregnancy?

Chemo with either methotrexate (with or without leucovorin) or actinomycin-D is the only treatment needed in most cases. If a single drug does not get rid of the tumor, treatment with combination chemo is usually effective. In rare cases, the tumors are surgically removed and chemo may be given.

Is molar pregnancy cancer curable?

Three malignant forms of gestational trophoblastic disease occur, including invasive molar pregnancy, choriocarcinoma and placental site trophoblastic tumors. Almost all molar pregnancies, even the cancerous type, can be cured.

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Can a molar pregnancy go full term?

Only very rarely in a partial molar pregnancy does a foetus survive to full term. Complete molar pregnancy – In this form of molar pregnancy, no normal pregnancy tissue develops at all.

Is there a heartbeat with molar pregnancy?

These include feeling nervous or tired, having a fast or irregular heartbeat, and sweating a lot. An uncomfortable feeling in the pelvis. Vaginal discharge of tissue that is shaped like grapes. This is usually a sign of molar pregnancy.

How often does a molar pregnancy turn into cancer?

Fewer than 15% of molar pregnancies become invasive and spread outside of the uterus. Choriocarcinoma. This is a cancerous tumor formed from trophoblast cells.

What are the complications of molar pregnancy?

Complications of molar pregnancy

haemorrhage. ovarian cysts. breathlessness (when it spreads to the lungs) pre-eclampsia (toxaemia of pregnancy), involving high levels of certain substances in the blood that raise blood pressure and affect the kidneys and (sometimes) liver function.

Is a molar pregnancy a miscarriage?

A molar pregnancy will not be able to survive. It may end on its own, with a miscarriage. If this does not happen, it’s usually treated with a procedure to remove the pregnancy.

How quickly do hCG levels drop after molar pregnancy?

In most women the levels of hCG drop fairly rapidly. Once your hormone level reaches zero for three weeks, follow-up will cease for those with a partial mole. For women with a complete mole, you will progress to monthly blood tests for a further six months.

How long does it take to recover from a molar pregnancy?

For most women, this will take about 6 months. If you have GTN, you will need to wait for 12 months after you have finished chemotherapy treatment. This is because GTN can sometimes come back.

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Is progesterone high in molar pregnancy?

Increased progesterone during pregnancy can mean that you have twins or an abnormal type of pregnancy called a molar pregnancy. Increased progesterone when you are not pregnant could mean you have a type of ovarian tumor called a lipid ovarian tumor, or chorionepithelioma.