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Fatal Case of Gestational Trophoblastic Tumour Following a Molar Pregnancy in a Low Resource Setting: A Case Report

Olivier Mulisya1,*, Kasereka Tatumwa Liston2, Katembo Mathina Erickson2, Kambale Kalungero Gervais2,3, Kavira Zawadi Iza2,4, Mwiraghulu Mumbere ghislain2, Mathe Jeff K5

1Department of Gynecology and Obstetrics, Fepsi hospital, Butembo, Democratic Republic of the Congo

2Department of Gynecology and Obstetrics, Centre Hospitalier Ngothe, Democratic Republic of the Congo

3Department of Gynecology and Obstetrics, Université Oficielle de Ruwenzori, Democratic Republic of the Congo

4Institut de bâtiments et travaux publiques de Butembo, IBTP, Democratic Republic of the Congo

5Université des Pays des Grands Lacs (ULPGL), OBS/GYN Department, Democratic Republic of the Congo

*Corresponding Author: Olivier Mulisya, Department of Gynecology and Obstetrics, FEPSI hospital Butembo, Democratic Republic of the Congo; Email: [email protected]

Received Date:  September 16, 2023

Publication Date: October 17, 2023

Citation: Mulisya O, et al. (2023). Fatal Case of Gestational Trophoblastic Tumour Following a Molar Pregnancy in a Low Resource Setting: A Case Report. Oncogen. 6(2):26.

Copyrights: Mulisya O, et al. © (2023). 


Hydatidiform mole is the most common gestational trophoblastic disease. The major risk of this disease is the constitution of a malignant gestational trophoblastic tumor with a poor prognosis if it is not detected and treated in time.

The main challenges observed were as follow: poor management of abortion, no means of biopsy, insufficient equipment, and the patient's poor adherence to care as well as her unfavorable socio-economic status.

These observations join those of other cases of molar pregnancy managed in similar conditions but with no reported adverse outcome.

Therefore, we encourage the implementation of strategies for regular training of health personnel, improvement of the technical setup, and community awareness for antenatal care from the first trimester of pregnancy to improve early diagnosis and proper management of hydatidiform mole in the context of limited resources.

Its management in low- and middle-income countries faces too many challenges that do not allow adequate management increasing the risk of complications such as persistent trophoblastic disease or malignant tumors.

We report the difficulties encountered in the management of molar pregnancy in rural areas in the eastern part of the Democratic Republic of Congo (DRC).

Keywords: gestational trophoblastic tumor, molar pregnancy, low resource setting, case report

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