ectopic the Fallopian tube, whilst the remaining might

ectopic pregnancy accounts for 2% of all pregnancies as previously reported( 1) it is a fertilized ovum that is implanted outside the endometrial cavity,majority of which are found within the Fallopian tube, whilst the remaining might be found in other sites like the ovary,cervix,cornua and cesarean section scar (8)-2}{ Incidence of the genetically abnormal fertilized egg (molar pregnancy)varies greatly in different parts of the world (3)}{ molar ectopic pregnancy was reported in the U.K. At a rate of 1.5 in a 1000,000 (13-4)}{ clinical symptoms,ultrasound imaging ,quantitative beta HCG level are salient aspects that aid the diagnosis of molar pregnancy (7-5)}{ it is noteworthy that BHCG levels in tubal molar pregnancy mimics that of an ectopic pregnancy, unlike the high values found in an intrauterine molar pregnancy (4-6)}{ MRI can provide a valuable tool for diagnosing ectopic hydatidiform moles as cited in a previous study (6-7) } { outcomes post laparoscopic salpingectomy for molar ectopic pregnancy are good, although the risk quantification for persistent disease after surgical removal is difficult due to scarcity of reported cases. In the previously described choriocarcinoma and invasive mole, chemotherapy was the treatment of choice } (2-8){about 5% and 15% of patients who are diagnosed with partial mole and complete mole, respectively, will acquire persistent gestational trophoblastic disease } (7-5) proper differentiation between molar ectopic and non molar ectopic is mandatory.

{ patients with ectopic pregnancy who were managed medically and no tissue was available for histopathological evaluation are better followed with serial BHCG until normal levels are ensured. (1-9) } { it is currently presumed that many of the previously reported molar pregnancies are non molar pregnancies (3-10) } {histological criteria for diagnosing molar pregnancy have been clear in the literature,amongst which are villous enlargement and marked hydropic changes, cistern formation and circumferential trophoblastic proliferation. The diagnosis of ectopic molar pregnancy requires the application of the same diagnostic criteria applicable to their more common uterine counterpart. The pathologic criteria must be strict in the diagnosis of ectopic molars, as some studies have found that there may be an overdiagnosis of ectopic molar pregnancy (11,12), perhaps due to the more florid trophoblastic proliferation in ectopic pregnancy than the evacuated uterine products.

Best services for writing your paper according to Trustpilot

Premium Partner
From $18.00 per page
4,8 / 5
4,80
Writers Experience
4,80
Delivery
4,90
Support
4,70
Price
Recommended Service
From $13.90 per page
4,6 / 5
4,70
Writers Experience
4,70
Delivery
4,60
Support
4,60
Price
From $20.00 per page
4,5 / 5
4,80
Writers Experience
4,50
Delivery
4,40
Support
4,10
Price
* All Partners were chosen among 50+ writing services by our Customer Satisfaction Team

?? Meaning However,diagnosis can be a challenge to the pathologist since the differences in hydropic abortions and molar pregnancy can be minimal(11-13),  { add to this, evaluation of the specimen depends on the experience of the examiner and might be highly subjective (9-14)} , Then again immunohistochemical analysis using antibodies like p57 can distinguish between hydatidiform mole with its different types and hydropic miscarriage }(11-13) .{ when available,DNA flow cytometric analysis to determine ploidy helps to differentiate between complete mole and partial mole. (4-15)}Reaching the correct diagnosis can decrease the burden on the medical system and the need for further unnecessary follow up }{ following a pregnancy affected by hydatidiform mole,whether it is complete or partial mole there is a 2 % risk of recurrence without an increase risk of obstetrics complication, in the next pregnancy ,compared with the general population } (5-16)