MANILA CENTRAL UNIVERSITY

COLLEGE OF MEDICINE
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
PATHOLOGIC OBSTETRICS

GTD Short Quiz

Dr. Milagros T. Jocson

NAME: Carlos D. Achondo Jr.

1.2. Describe the difference between Complete H. Mole and Partial H. Mole regarding the FF:

Complete Mole Partial Mole

1. Degree of involvement of the placenta

2.Presence or absence of embryonic development:

Complete Mole Partial Mole

Degree of placental There is diffuse The hydropic
involvement swelling of chorionic chorionic villi is less
villi (edematous extensive and more
chorionic villi) localized producing a
Also there is scalloping pattern of
trophoblastic edematous villi.
proliferation
Presence or absence No fetal or placental There is presence of
of embryonic membranes embryo/fetus and
development placental membranes

3. Identify 1 risk factor for H Mole: Extremes of maternal age

4. Identify 1 risk factor for malignant transformation of H Mole: Large for dates uterus
5. 25 y/o G2P0 diagnosed with Complete H Mole. What will be the mode of evacuation? Suction Curettage
6. What is meant by Plateauing titer of bHCG titer post molar evacuation?
The serum bHCG post molar evacuation regresses but it is insufficient, quantitatively, the
regression or the drop oof bHCG is only less than 10% for a 3 week period.
7-10. Describe histologic characteristics of the ff:
7. Invasive Mole: The presence of hyperplastic cytotrophoblast and syncitiotrophoblast with villous
stroma within the myometrium and or in the metastatic lesions.
 8. Choriocarcinoma: It also has cyto and syncitiotrophoblast but without villous stroma.
9. PSSTT: The hyperplastic layer is the intermediate trophoblast that was the previous site where the
placenta implants, called chorionic frondosum.
10. ETT: this arises from intermediate trophoblast as well but unlike in PSTT which came from the
previous placental site implantation, it came from the chorionic levae.