en حاملگی لوله‌ای مولار: گزارش یک مورد Reproductive Oncology Case Report Case Report <div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> حاملگی مولار خارج رحمی (</span></span><span dir="LTR" style="font-size:10.0pt">EMP</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">) یک شکل نادر از بیماری تروفوبلاستیک بارداری است که وقتی یک مول هیداتیدیفورم خارج از رحم &nbsp;لانه&shy;گزینی کرده باشد رخ می‌دهد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مورد:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> در این مطالعه یک مورد زن 35 ساله با درد شکمی خفیف، تأخیر در قاعدگی به مدت 2 ماه و سطح بالای </span></span><span dir="LTR" style="font-size:10.0pt">&beta;hCG</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">گزارش می‌کنیم. سونوگرافی یک توده هایپراکوژن هتروژن در آدنکس چپ و وجود مایع در حفره‌ی رحمی نشان داد که مطرح کننده </span></span><span dir="LTR" style="font-size:10.0pt">EMP</span><span style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> لوله</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">بود. او تحت کورتاژ اندومتریال و سالپنژکتومی چپ قرار گرفت. یافته</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های پاتولوژی تشخیص مول هیداتیدیفورم تهاجمی و </span></span><span dir="LTR" style="font-size:10.0pt">EMP</span><span style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> لوله&shy;ی راست را تأیید کرد. بیمار با حال عمومی خوب و بدون هیچ عارضه‌ای مرخص شد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه&shy; گیری:</span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> گزارش این مورد تشخیص زودهنگام و درمان چند جانبه </span></span><span dir="LTR" style="font-size:10.0pt">EMP</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> را ضروری نشان داد تا از پیامدهای جدی ناشی از وجود تومور تروفوبلاستیک جلوگیری شود.</span></span><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Ectopic molar pregnancy (EMP) is a rare form of gestational trophoblastic disease that occurs when a hydatidiform mole implants outside the uterus. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Case Presentation: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">We describe a 35-yr-old woman with mild abdominal pain, delayed menstruation for 2 months, and high beta-human chorionic gonadotropin levels. Sonography revealed a heterogeneous hyperechoic mass in the left adnexa and fluid in the endometrial cavity, suggestive of a tubal EMP. She underwent endometrial curettage and left salpingectomy. Pathology confirmed the diagnosis of invasive hydatidiform mole/left tubal EMP. The case recovered well and had no complications.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion: </span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">This case highlights the need for early diagnosis and multidisciplinary treatment of EMP to avoid serious consequences from persistent trophoblastic tumors.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="font-family:"Times New Roman","serif""></span></span></span></span></span></div> <div style="text-align: justify;"><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""></span></span></b></span></span></span></div> حاملگی مولار خارج رحمی, حاملگی خارج رحمی, مول هیداتی فرم. Ectopic molar pregnancy, Ectopic pregnancy, Hydatidiform mole. 405 410 http://ijrm.ir/browse.php?a_code=A-10-1015-1&slc_lang=en&sid=1 Mojgan Hajisafari Tafti dr.mhajisafari@gmail.com 0000-0001-7352-9341 No Department of Obstetrics and Gynecology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Sajad Zare Garizi sajadzare828@gmail.com 0000-0002-3815-932X No Student Research Committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Fatemeh Mazidi mazidifateme826@gmail.com 0009-0000-5959-9220 Yes Department of Obstetrics and Gynecology, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.