A Rare Case of Massive Molar Pregnancy in a Postmenopausal Woman: Challenges in Diagnosis and Management

Gestational trophoblastic disease (GTD) typically occurs in women of reproductive age and is exceedingly rare in postmenopausal women. Hydatidiform mole is the most common form of GTD. The recommended management is total hysterectomy, as women over the age of 50 years have a higher risk of malignant transformation. Here, we report the case of massive molar pregnancy in a 52-year-old postmenopausal woman, complicated by hyperthyroidism and other comorbidities, with cultural and belief-related barriers influencing treatment decisions.