PERSISTENT TROPHOBLASTIC DISEASE WITH INVASIVE MOLE- A CASE REPORT

Persistent trophoblastic disease also known as a Non- metastatic locally malignant gestational trophoblastic disease (5-10 percent) are invasive. Persistent moles erode the wall of the uterus, burrow into myometrium and may even perforate through the uterus into either the peritoneal cavity or the broad ligament ensuing dangerous internal hemorrhage. Up to 15 percent (1) of women with hydatiform mole show persistence of the tumor in the uterus following surgical evacuation of the products of conception as in the present case. Here we report a case of Persistent Trophoblastic Disease - Invasive mole that presented with irregular vaginal bleeding and persistently raised serum B-hcG levels following evacuation of a molar pregnancy.