Definition and causes
Mola is an unregulated growth of the placenta cells. If these cells begin to grow into the surrounding tissues, they can develop into a condition which is categorized as a cancer called choriocarcinom.When the woman becomes pregnant, formed the precursor to the placenta. This occurs as a indvækst in the layer of the uterine wall, bordering the uterine-cavity. Mother Cake consists of precursor cells, which are formed from the fertilized egg. Sometimes, there is an error in the division of cells that develops into the placenta, and then formed a tumor-like mass. This mass is called Mola. The rule would have the placenta then malfunction that an embryo can not pass. If developing a viable fost Mola occurs in one in 2000-1500 pregnancies. Rarely (1-3 cases per year) will develop itself to Mola malignant disease, ie. a cancer. It invades the cells normally develop into placenta, uterine wall and surrounding organs and spreads to the blood to other organs (metastasis). This cancer is called as a choriocarcinom said. Symptoms of Mola and choriocarcinom
The main symptoms areheavy bleedingand some havesevere nausea.Precautions and diagnosis
The cells that form Mola or choriocarcinom are the cells that produce the hormone hCG (human chorionic gonadotrophin). This is the hormone, which will have a pregnancy test to turn positive, and there will be (a pregnancy) abnormally high levels of this hormone in the blood. Therefore, a blood test could give suspects to the state. The diagnosis Mola by an ultrasound examination, looking grape bunch-like formations in the womb.Cancer choriocarcinom The disease is diagnosed by microscopy of cells from a udskrab of suspected Mola (see below). The diagnosis is supported by control of hCG in the blood, the benign disease (Mola) falls after udskrabning of the uterus, but remain high or rise by malignant disease (choriocarcinom). Get diagnosed choriocarcinom, will conduct further investigation, including X-ray of the lungs and ultrasound examination of the abdominal cavity to assess whether the cancer ha
Treatment of Mola and choriocarcinom
Mola treated by the same procedure as a surgical abortion, ie. a udskrabning or a similar procedure with suction. Then followed the woman with regular measurements of hCG.Choriocarcinom treated in the same way, but supplemented by chemotherapy. Again, this mode followed by measurements of hCG.
Select and complications
Mola can spread to surrounding organs, outside the cells, however, has a malignant character (this condition is called invasive Mola). In such cases it is not enough to suck molavævet from the uterus, and it may be necessary to deal with additional chemotherapy. Choriocarcinom have, if discovered early, a relatively good prognosis.
This article is formed on the Health Guide on 18.10.06
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