Chemotherapy
Complete molar pregnancy is well recognized to have
the potential for local invasion and distant spread. After
evacuation, local uterine invasion occurs in about
15% and metastases in 4%. Complete molar pregnancy
is usually divided into low and high risk for persistence
based on signs and symptoms of marked trophoblastic
proliferation at the time of evacuation, i.e.:
hCG >100,000 mIU/Ml; excessive uterine enlargement;
theca-lutein ovarian cyst >6 cm in diameter; older
maternal age; a previous molar pregnancy. The
risk of postmolar GTD is significant less with partial
molar pregnancy and is seen in approximately 1-6%