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Molar Follow-up — SCE Medical Oncology MCQ

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HardGynaecological CancersMolar Follow-upSCE Medical Oncology

After evacuation of a complete hydatidiform mole, serum hCG becomes normal 42 days after evacuation. What follow-up completes the UK specialist-centre pathway for this rapid-normalisation branch?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — One confirmatory urine hCG sample 4 weeks after normalisation, then discharge if normal

Option E is correct: after complete-mole hCG normalises within 56 days, one urine sample 4 weeks later completes surveillance if normal. Option C applies neither the timing nor duration of this branch. Option A over-monitors. Option D omits confirmation, and option B has no place in the standard pathway.

Reference: Imperial College Healthcare NHS Trust: molar pregnancy follow-up. https://www.imperial.nhs.uk/our-services/cancer-services/gestational-trophoblastic-disease/information-about-molar-pregnancy