Trophoblastic Disease
Neoplasms of trophoblastic origin that can follow
intra- or extrauterine pregnancy.
A hydatidiform mole
is the end stage of a degenerating pregnancy in which the villi have become
hydropic and the trophoblastic elements have proliferated.
Persistent trophoblastic
disease (PTD,
chorioadenoma destruens, or invasive mole) is a local invasion of the
myometrium by the villi of the hydatidiform mole. In contrast, metastatic
trophoblastic disease (MTD, choriocarcinoma, or chorioepithelioma) is an
invasive–usually widely metastatic–tumor composed of syncytiotrophoblastic and
cytotrophoblastic elements only.
A mole is more
common in older patients. Molar pregnancies occur in about 1/2000
gestations in the USA; however, for unknown reasons, the incidence in Asiatic
countries approaches 1/200. Over 80% of hydatidiform moles are benign.
However, 15% lead to local
invasion characteristic of PTD; 2 to 3% are followed by MTD.
The locally invasive
variant may cause uterine perforation, hemorrhage, and sepsis.
Symptoms, Signs, and Diagnosis
Hydatidiform mole often manifests itself
shortly after conception by
¨1a rapid increase in the
size of the uterus, often causing it to be larger than it should be by dates.
¨2Vaginal bleeding, lack of
fetal movement, lack of fetal heart tones at the appropriate time (12 wk with
Doppler ultrasonography), and severe nausea and vomiting should arouse clinical
suspicion.
¨3Passage of typical grapelike
molar tissue suggests the diagnosis, and histologic examination confirms
it.
¨4Without such proof, the
diagnosis may be difficult to differentiate from other pregnancy complications
involving a possibly normal fetus.
¨5Ultrasonography, the
diagnostic modality of choice, is not infallible but usually demonstrates
absence of an amniotic sac with a fetus in it.
Human chorionic
gonadotropin (HCG) is produced by the proliferating trophoblastic tissue, and high levels
of HCG found on radioimmunoassay are valuable in evaluating treatment.
Serum and urinary HCG levels are elevated during
the first 100 days of gestation (even more so with multiple pregnancy);
therefore, the value of the test early in pregnancy is diminished. Radioimmunoassay
for the b subunit of HCG is used for diagnosis and management of trophoblastic
disease.
Complications of a mole include intrauterine
infection and septicemia,
¨6hemorrhage, toxemia of
pregnancy (the only condition in which true toxemia is seen in the first half
of pregnancy), and
¨7development of MTD. PTD,
because it is intramural, tends to cause bleeding; it may infiltrate adjacent
tissue and occasionally metastasize to distant sites.
¨8MTD metastasizes early and
widely via the venous and lymphatic systems and is highly malignant.
Treatment
Evacuation of hydatidiform
mole
is essential. The treatment of choice is suction curettage, followed by
oxytocin stimulation and curettage of the uterus.
Hysterotomy is no longer used for
evacuation. Hysterectomy may be selected, based on the age, parity, and future
pregnancy plans of the patient. After evacuation, serial chest x-rays should be
taken and serum b-HCG titers should be determined.
The titer should
progressively fall to a normal level in 8 wk. If it fails to fall or if it
rises after once falling, studies for malignant progression should be performed.
The patient should use
contraception for a year, since detection of malignant change is compromised by
pregnancy.
Patients with persistent or
rising HCG levels may have either PTD (invasive mole) or MTD and should receive
chemotherapy with methotrexate, dactinomycin, or a combination of drugs,
depending on the organs involved, b-HCG titers, and postevacuation duration.
Chemotherapy has largely replaced
hysterectomy in both conditions; results are good, reproductive capacity is
preserved, and major surgery is avoided.
However, hysterectomy
may be considered in patients > 40 yr or those desiring sterilization
and may be required for those with infection, uncontrolled bleeding, or
invasion of disease through the uterine wall. For patients with
trophoblastic malignancy, the overall remission rate is 75 to 85%.
Nursing Process
Prevention
Because the cause of
hydatidiform mole is unknown, there is no known prevention. However, malnutrition
or stress might play a part in influencing its development; therefore
instructions should be given to all patients planning a pregnancy regarding the
importance of stress management and a balanced diet high in protein and vitamin
A.
Assessment
Hydatidiform mole: to detect a hydatidiform
mole early, the nurse should observe for signs of a mole at each prenatal visit
during the first 20 weeks of gestation.
Such signs as uterine
bleeding, uterine size small or large for dates, hyperemesis gravidarum, signs
of preeclampsia before 24 weeks of gestation, passage of grapelike vesicles, or
inability to detect FHR with Doppler FHR device after 10 to 12 weeks of
gestation should be brought to the attention of the obstetrician or healthcare
provider immediately.
Gestational Trophoblastic
Neoplasia: Because a gestational trophoblastic neoplasia may develop following a
normal delivery or an abortion, all patients should be taught the importance of
reporting any unusual bleeding following any reproductive event. In these
cases, hCG levels should be determined in order to detect early a gestational
trophoblastic neoplasia.
Nursing Diagnosis/Collaborative Problems and Interventions
¨
Potential Complication: Hemorrhage related to trophoblastic invasion or uterine
rupture.
Desired Outcomes:
The signs and symptoms of
hemorrhage will be minimized/managed as measured by distal pulses; stable vital
signs; orientation to person, place, and time; urinary output greater than 30
ml/hr, an no signs of bleeding
Interventions
1.
Monitor for evidence of hemorrhage such as vital signs, abdominal pain,
uterine status, and vaginal bleeding.
2.
Start intravenous (IV) infusion with an 18-gauge intracatheter.
3.
Prepare for surgery according to preoperative protocol, and type and
cross match 2 to 4 units of blood as ordered.
4.
Postoperative IV infusions with oxytocin added are usually continued
initially to facilitate uterine contractions and decrease uterine bleeding.
5.
Do not massage a boggy uterus if ovaries are enlarged since it can cause
ovarian rupture.
6.
Notify physician of first signs of bleeding.
¨
High Risk for Infection related to invasive qualities of a hydatidiform
mole or surgical intervention.
Desired out come:
The patient will remain
infection free postoperatively as indicated by her temperature remaining below
38°C , absence of foul-smelling vaginal discharge, and a white blood cell count
between 4500 and 10,000/mm.
Interventions
1.
Assess for indicators of infection by checking temperature every 4 hours
and assessing vaginal discharge for a foul odor.
2.
Monitor laboratory data especially white blood cell count.
3.
Teach the importance of perineal care.
4.
Administer antibiotics at the first sign of an infection as ordered.
5.
Notify physician if temperature is greater than 38°C or if foul smelling
vaginal discharge develops.
¨
Potential Complication: Respiratory Compromise related to trophoblastic
emboli, fluid overload, cardiac failure caused by gestational hypertension, or
thromboembolism.
Desired Outcome:
Sings and symptoms of
respiratory compromise will be minimized/managed as measured by normal breath
sounds, arterial blood gas results consistent with patient’s baseline
parameters (pH 7.35 to 7.45, PaO2 equal to or greater than 80 mmHg,
and PaCO2 less than 45 mmHg.
Interventions
1.
Auscultate breath sounds postoperatively.
2.
Monitor patient for signs and symptoms of hypoxia: restlessness,
agitation, and changes in level of consciousness.
3.
Monitor serial arterial blood gas values if ordered.
4.
Administer oxygen as prescribed.
5.
Notify physician of first signs of respiratory compromise such as
decreased breath sounds, changes in level of consciousness, decreasing PaO2
or increasing PaCO2.
High Risk for Altered Urinary Elimination
(pattern): oliguria
related to the antidiuretic effect of oxytocin.
Desired outcome: The patient will maintain a urinary output
greater than 120 ml/4 hr.
Interventions
1.
Monitor intake and output.
2.
Administer oxytocin intravenously as ordered, and monitor flow rate
closely.
3.
Notify attending physician if urine output drops below 120 ml per 4 hr.
¨
Fear related
to the possible development of gestational trophoblastic neoplasia, future
threat to family planning, and financial concern regarding long-term medical
care.
Desired Outcome:
The patient and family
members will be able to communicate their fears and concerns openly.
Interventions
1.
Provide time for the patient and her family to express their concerns
regarding the possible outcome and inconvenience to the mother and family
during the treatment and long follow-up assessment. Encourage them to vent any
feelings, fears, and anger they may be experiencing.
2.
Assess family’s support system and coping mechanisms.
3.
Provide information to the family regarding the disease process, plan of
treatment, and risk for the patient.
4.
Explain all treatment modalities and reasons.
5.
Keep patient informed of health status and results of tests.
6.
Discuss risk of a gestational trophoblastic neoplasia based on whether
the patient had a partial or complete mole.
¨
Anticipatory Grieving related to loss of an anticipated infant, state of
wellness, and possible threat to fertility.
Desired Outcome:
The patient and her family
will verbalize their feeling of grief appropriately and identify any problems
as they work through the grief process.
Interventions
1.
Assess significance of loss to all family members and level of guilt or
blame.
2.
Assess family’s communication pattern and support systems.
3.
Reaffirm with the family their losses, and let them know you are aware
that these are real.
4.
Provide physical care such as a back rub or nourishment as needed.
5.
Consider any significant cultural beliefs or values.
6.
Refer to psychiatric services when deemed necessary.
¨ High Risk for Health
Management Deficit related to follow-up assessment and chemotherapy regime if metastasis
occurs.
Desired Outcome:
The patient and her family
will verbalize compliance, outline the proposed follow-up assessment, and
utilized a contraceptive method during the follow-up care.
Interventions
1.
Assess the patient’s and family’s understanding of the disease and risks
of an ongoing gestational trophoblastic neoplasia
2.
Explain the disease and the plan of treatment.
3.
Educate about the importance of the follow-up assessment in order to
detect early a gestational neoplasia when it is almost 100 % curable.
4.
Educate about the importance of avoiding pregnancy during the follow-up
assessment to prevent masking the hCG rise of a gestational trophoblastic
neoplasia
5.
Teach that any effective contraceptive method may be used except an
intrauterine device (IUD) because of bleeding irregularities associated with
the IUD. Oral contraceptives are the preferred method since they are highly
effective.
6.
Explain the treatment program if a gestational trophoblastic neoplasia
develops.
7.
Future family planning can be facilitated when the couple is reassured
that even following chemotherapy, they can anticipate a normal reproductive
outcome in the future with no increased risk of congenital fetal malformations.
The risk of a repeat molar pregnancy is 1 %.
B