An invasive mole localized in the fallopian tube with ovarian metastasis

Objective: To present a case of an invasive mole localized in the fallopian tube with ovarian metastasis. Design: Case report. Setting: Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xi’an Jiaotong University. Patient: A 30-year-old woman with amenorrhea sixty-four days with a little bit of vaginal bleeding. The serum levels of β-hCG was significantly increased but no gestational sac was observed in the uterus cavity by ultrasound examination. She once had a dilation and curettage 5 months ago. Intervention(s): The patient underwent laparoscopic operation with right salpingo-oophorectomy and left theca-lutein cysts puncture under general anesthesia and received chemotherapy after the operation. Main Outcome Measure(s): The serum β-hCG level of the patient fell into the normal range after the 2nd cycle of chemotherapy and transvaginal ultrasonography reexamination showed no abnormalities. The patient is well at one year follow-up. Conclusion(s): An invasive mole in fallopian tube with ovarian metastasis was diagnosed and the patient was successfully treated by laparoscopic operation and chemotherapy