This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous (Gynae), Subject name: Gynaecology & Obstetrics
Patient with 20 weeks size uterus & vesicular mole. Treatment is: 
Select and explain. 
A. Induction of labour, B. Methotrexate, C. Hysterotomy, D. Suction evacuation
D: Suction evacuation
Answer: D: Suction evacuation 
Explanation: Ans. is 'd' i.e., Suction evacuation * Vacuum aspiration: Suction evacuation is the treatment of choice for hydatidiform mole, regardless of uterine size. After most of the molar tissue has been removed by aspiration, oxytocin is given. After the myometrium has contracted, thorough but gentle curettage with a large sharp curette usually is performed.* Intraoperative ultrasonographic examination may help document that the uterine cavity has been emptied.* Induction of labour is contraindicated.