Elevated intravesicular fluid thyroid-stimulating hormone concentration in hydatidiform mole.

In an attempt to explain hyperthyroidism in hydatidiform mole, concentrations of immunoreactive thyroid-stimulating hormone (TSH) together with human-chorionic gonadotrophin (beta-hCG) were measured in the serous fluid obtained from 43 patients aged 15-45 years and with amenorrhea 11-31 weeks. Elevated concentrations of these two hormones were found in all samples. It is probable that hyperthyroidism could stem from TSH immunologically similar to pituitary TSH and distinct from hCG and luteinizing hormone (LH) that we have identified in hydatid vesicles.