Complementary Role of Ultrasound in Management of Gestational Trophoblastic Disease

AuthorMahrooz Maleken
AuthorBehnaz Moradien
AuthorAzam Sadat Mousavien
AuthorNasrin Ahmadinejaden
AuthorMohamad Ali Kazemien
AuthorMasoumeh Gityen
OrcidBehnaz Moradi [0000-0003-2698-4872]en
Issued Date2015-04-30en
AbstractBackground: Transvaginal Ultrasonography is a noninvasive and inexpensive medical imaging tool used for the diagnosis of various diseases. Objectives: To identify an effective method to identify high-risk patients for developing malignancy after molar evacuation. Patients and Methods: A prospective serial assessment of 19 patients with gestational trophoblastic disease was performed. Clinical and laboratory data, transvaginal ultrasound and Doppler findings were evaluated the day before evacuation. They were followed-up in the first week after evacuation and every two weeks during the next two months, then every month until the sixth month. Results: Ovarian theca lutein cysts (P = 0.018) (among pre-evacuation factors) and first week ultrasound (P = 0.02) can help in detecting high-risk patients. Even though, when β-hCG titer is not available in a high-risk patient, post evacuation myometrial involvement (P = 0.005) is a useful sign for detecting persistency. Conclusions: Some ultrasonographic features of molar pregnancy have capability to predict malignancy in the course of disease.en
DOIhttps://doi.org/10.5812/iranjradiol.13955en
URIhttps://brieflands.com/journals/ijradiology/articles/56212en
KeywordGestational Trophoblastic Diseaseen
KeywordDoppleren
KeywordUltrasounden
PublisherBrieflandsen
TitleComplementary Role of Ultrasound in Management of Gestational Trophoblastic Diseaseen
TypeResearch Articleen

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