Therapeutic approach to the iatrogenic invasive mole: A report of two cases

Introduction. Invasive mole, a form of gestational trophoblastic neoplasia (GTN), is defined as penetration molar tissue into the myometrium and/or presence extra-uterine metastases. An invasive mole arising from complete hydatidiform more common than an partial mole. Dilatation and uterine evacuation curettage (D&E/C) first step in managing pregnancy. Uterine perforation most serious complication this procedure. A less one false passage. Case report. The case report describes 47-year-old woman who was referred to our Clinic under suspicion GTN, with elevated serum beta human chorionic gonadotropin (beta hCG) levels. Intraoperatively, devitalized ovular observed. Histopathological exam (HPE) obtained hysterectomy confirmed result made during D&E/C. second patient, 32-year-old vaginal bleeding, nausea, high levels hCG admitted Clinic. After four D&E/C, persistently levels, explorative laparotomy has been performed. passage created D&E/C necrotic by HPE. Conclusion. This reported literature postmolar GTN iatrogenic uterus, also described passage, nation-al survey events treatment disaeses needed since these could completely change therapeutic strategies diseases.