Invasive mole after heterotopic pregnancy in a postmenopausal woman: A rare case report from a tertiary hospital in northern Tanzania

This case highlights the diagnostic and therapeutic challenges of invasive mole in a postmenopausal woman after heterotopic pregnancy in a resource-limited setting. The absence of post-evacuation β-hCG surveillance contributed to delayed recognition. Clinicians should maintain a high index of suspicion and emphasize the importance of hCG monitoring for early detection and optimal management of GTN. Also should maintain a high index of suspicion for GTN in women with abnormal bleeding even after menopause.