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The Cancer in Pregnancy Forum

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This Forum has been the centre of an exceptional exchange of knowledge diagnosis, treatment, symptoms and other effects of cancer during pregnancy and lactation. All are welcome to review the Questions and Answers posted here, provided that they acknowledge and accept the important proviso and disclaimer below.
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Forum > Cancer - Active Topics: Cancer - Active Topics
Molar Pregnancy

CCoPE
Date: 2008-06-18

Question:
I've been going for my weekly bloodwork, following a molar pregnancy a little over a month ago. This week, after my bloodwork, my doctor asked for an ultrasound. After reading the ultrasound that same day, my doctor insisted on me starting aggressive chemo immediately. Does that mean that they have detected a mass again and that it is a malignant cancer?

Answer:

The following information should not replace the assessment and advice you have been receiving from your physician (cancer specialist, obstetrician, or any other healthcare provider). It is offered for your information only. Consult your physician.

If the HCG hormones are rising or plateau then it means the molar pregnancy may be a persistent mole. This may not necessarily be malignant, but if it has spread beyond the uterus, it may be a form of malignant cancer called choriocarcinoma. The persistent molar pregnancy may then require chemotherapy such as methotrexate, actinomycin-D or combinations thereof to treat so that it doesn't become choriocarcinoma. The ultrasound is likely to hunt for residual signs of molar pregnancy in the uterus. You should discuss this information with your physician.

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