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Complete hydatidiform mole almost always lacks an embryo/fetus. Before the widespread use of pelvic ultrasound during pregnancies, complete mole usually presented between 11 and 25 weeks with vaginal bleeding and/or excessive uterine enlargement for gestational age. The hCG levels are usually markedly elevated. Grossly, a complete mole consists of variably sized swollen vesicular villi. Image courtesy of Steven O'Connor, MD, Houston, Texas. Used with permission
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