PMC8831237_01
(A) Ultrasound examination showing fullness of the uterus, about 98 x 95 x 106 mm, the uterine cavity moved forward, and the endometrial thickness was 4 mm. There was about 85 x 70 x 97 mm hyperechoic masses in the muscular layer of the posterior wall, and the echoes were disordered and uneven. (B) MR imaging showing enlarged, uterus 100 x 96 x 105 mm, and there was a mass in the myometrium with the size about 12.3 x 8.0 cm, which invaded the serosal laver but not endometrium.
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F1
Hospital. Her serum HCG was 106,189 mIU/ml, while ultrasound examination revealed that her uterus had enlarged to about 98 x 95 x 106 mm3, with evidence of a lesion (measuring 12 x 8 cm2) in the myometrium (Figure 1A). Pelvic MR imaging also confirmed uterus enlargement to 100 x 96 x 105 mm3, and the lesion in myometrium was 12.3 x 8 cm2 (Figure 1B).
Intraoperatively, the uterus was ruptured, with a breach of about 10 cm, leaving a grape-like tissue. Incision of uterus, the lesion invaded the entire layer of the uterus but not into the cervix and endometrium.
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F2
Estimated blood loss was 2,600 ml (Figure 2).
The histopathological examination showed obvious proliferation of trophoblasts and enlarged villi with the formation of a central pool, which invaded the entire posterior wall of the uterus. Coincidence the aggressive mole.
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F3
Postoperative histopathological results revealed an invasive mole (Figure 3).