Malek M, Moradi B, Mousavi AS, Ahmadinejad N, Kazemi MA, Gity M. Complementary Role of Ultrasound in Management of Gestational Trophoblastic Disease.
Iran J Radiol 2015;
12:e13955. [PMID:
26060553 PMCID:
PMC4457963 DOI:
10.5812/iranjradiol.13955]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2013] [Revised: 11/14/2013] [Accepted: 11/24/2013] [Indexed: 11/24/2022]
Abstract
Background:
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.
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