Table 1

Typical characteristics of complete and partial hydatidiform moles

CharacteristicComplete hydatidiform molePartial hydatidiform mole
PloidyDiploidTriploid
GenomeDiandricDiandric monogynic
Karyotype46 XX/XY69 XXX/XXY/XYY
Ultrasound imagingEnlarged uterus,
bilateral theca lutein cysts,
diffuse villous hydrops
Enlarged placenta,
focal cystic spaces,
growth restricted fetus
hCG (IU/L)>100 000<100 000
PathologyFetal tissue usually absent; diffuse enlargement of villi; cisterns; diffuse trophoblast hyperplasia; trophoblast pseudoinclusions; bulbous, cauliflower-like villous outlines in earlier gestations; villous stromal karyorrhexis in earlier gestations.Fetus with anormalies; mixed population of enlarged and small villi; occasional cisterns; focal trophoblast hyperplasia; trophoblast pseudoinclusions; very irregular villi with fjord-like invaginations.
p57 immunohistochemistryLoss of p57 staining in cytotrophoblast and villous stromal cells.No loss of p57 staining.
Risk of GTN progression1–3 15-20%0.5-1%
  • hCG=human chorionic gonadotrophin. GTN=gestational trophoblastic neoplasia.