Recurrent pregnancy loss due to familial and non‐familial habitual molar pregnancy

International Journal of Gynecology & Obstetrics - Tập 83 - Trang 179-186 - 2003
T.K Al-Hussaini1, D.M Abd El Aal1, I.B Van den Veyver2,3
1Department of Obstetrics and Gynecology, Assiut University Hospital, Assiut University, Assiut, Egypt
2Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA
3Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA

Tóm tắt

AbstractObjectives: To present a series of women with recurrent molar pregnancies, including rare familial cases, and discuss etiology and treatment options. Methods: We performed a detailed clinical evaluation and pedigree analysis of five Egyptian women with recurrent pregnancy loss due to molar pregnancy. Results: The women had a history of four to nine consecutive hydatidiform moles but of no viable pregnancies. Two of the women had molar pregnancies with different husbands who themselves had viable offspring from previous wives; and three of them, who belonged to a family with extensive intermarriage, had a pedigree consistent with an autosomal recessive maternal‐effect mutation. Conclusions: Recurrent pregnancy loss due to habitual molar pregnancy is uncommon and familial cases are extremely rare. The etiology of this disorder is not well understood but likely results from a maternal‐effect mutation. Management options are limited, especially for couples who desire to have their own genetic offspring.

Tài liệu tham khảo

Sand P.K., 1984, Repeat gestational trophoblastic disease, Obstet Gynecol, 63, 140 Wu F.Y., 1973, Recurrent hydatidiform mole. A case report of nine consecutive molar pregnancies, Obstet Gynecol, 41, 200 1999, RCOG Guidelines. The management of gestational trophoblastic disease, RCOG Guidelines, 18, 1 10.1016/S1472-6483(10)61981-5 10.1016/0002-9378(78)90829-3 10.1038/268633a0 10.1016/0140-6736(90)91089-S 10.1016/0165-4608(91)90202-6 10.1016/0165-4608(93)90142-9 Federschneider J.M., 1980, Natural history of recurrent molar pregnancy, Obstet Gynecol, 55, 457 10.1016/S0140-6736(86)90179-0 Lurain J.R., 1982, Pregnancy outcome subsequent to consecutive hydatidiform moles, Am J Obstet Gynecol, 42, 060 10.3109/00016349209021083 10.1016/0020-7292(89)90827-8 10.1159/000052977 10.1093/humrep/15.3.594 Mangili G., 1993, Repeated gestational trophoblastic disease after natural and heterologous assisted conception: a case report, J Reprod Med, 38, 405 Helwani M.N., 1999, A familial case of recurrent hydatidiform molar pregnancies with biparental genomic contribution, Hum Genet, 105, 112, 10.1007/s004399900088 10.1038/sj.ejhg.5200501 10.1093/hmg/8.4.667 10.1016/0029-7844(95)00033-N 10.1016/S1071-5576(01)00129-0 10.1038/416539a Berkowitz R.S., 1994, Subsequent pregnancy experience in patients with gestational trophoblastic disease. New England Trophoblastic Disease Center, 1965–1992, J Reprod Med, 9, 228 10.1093/humrep/12.4.805 10.1093/oxfordjournals.humrep.a019432