VOLUME 27 ISSUES 2 | 2025

Occurrence of offensive mole after suction evacuation needing Chemotherapy, Invasive mole is malignant gestational disease that can occur during pregnancy

1Babar Shahzad, 2Hasnat Jahangir Jarral, 3Noor Fatima, 4Qamar Abba, 5Abubakar Siddique, 6Faiza Maqsood

1UHS, Lahore
2Ahsan Medical Complex, Mirpur
3Azad jammu kashmir medical college Muzaffrabad.
4PIMS Islamabad
5AlSeha Hospital Mirpur.
6UHS Lahore

Abstract
Objective: Invasive mole is malignant gestational disease that can occur during pregnancy. Main aim of this study is to check the incidence of invasive mole after suction evacuation procedure.
Materials & Methods: This study was done from July 2020 to December 2021 for period of 1.5 years. This main purpose of this study is to find the incidence of invasive mole which needs chemotherapy after suction and evacuation. For this purpose, 200 individuals with either partial or complete mole were taken, whom complete suction and evacuation was done. Patient was asked for regular follow up after every 3 weeks up to 1 year and incidence of any kind of invasive mole got observed.
Results: Total 200 females having molar pregnancy participated in this study. Whom complete suction and evacuation was done. Patients kept for follow up after every 3 weeks and about after 6 months 4 female presented with heavy bleeding after 2 month of Amenorrhea. Beta hcg was raised. Diagnosis of invasive mole was done as the mole was penetrating the uterus. Incidence of invasive mole was 2%. Chemotherapy was done in these patients.
Conclusion:  Individuals with molar pregnancy should be monitored consistently to ensure prompt identification of persistent gestational trophoblastic disease and appropriate treatment, as failure to track patients could result in complications
Keywords: invasive mole, suction evacuation, Curettage, Gestational trophoblastic disease