Abstract | OBJECTIVE: METHODS: Twenty-seven patients with a suspected diagnosis of GTN were transferred to Peking Union Medical College Hospital from September 2003 to March 2006, and underwent hysteroscopy and laparoscopy. Clinical data of patients were reviewed retrospectively. Most patients had abnormal vaginal bleeding and persistently elevated plasma beta human chorionic gonadotropin (beta-hCG) level for a median (53 +/- 37) days (range, 15 - 125 days) after evacuation. Ultrasound revealed a lesion with affluent blood flow in intrauterine, unilateral horn of uterus, or myometrium. No positive findings were revealed by computerized tomography or X-ray of the chest in all patients. Eleven patients underwent evacuation under hysteroscope, 10 patients were diagnosed and treated by laparoscopy, and 6 by hysteroscopy and laparoscopy. RESULTS: CONCLUSIONS: The major causes of pregnancy-related abnormal bleeding include incomplete abortion, ectopic pregnancy, and GTN. Hysteroscopy and laparoscopy are effective alternative of diagnosis for differentiation of GTN from non-GTN and can also offer therapeutic treatment.
|
Authors | Feng-zhi Feng, Yang Xiang, Hao-jie He, Xi-run Wan, Xiu-yu Yang |
Journal | Zhonghua fu chan ke za zhi
(Zhonghua Fu Chan Ke Za Zhi)
Vol. 42
Issue 7
Pg. 464-7
(Jul 2007)
ISSN: 0529-567X [Print] China |
PMID | 17961336
(Publication Type: English Abstract, Journal Article)
|
Chemical References |
- Chorionic Gonadotropin, beta Subunit, Human
|
Topics |
- Abortion, Incomplete
(diagnosis)
- Adult
- Chorionic Gonadotropin, beta Subunit, Human
(blood)
- Diagnosis, Differential
- Female
- Gestational Trophoblastic Disease
(blood, diagnosis, surgery)
- Humans
- Hysteroscopy
- Laparoscopy
- Middle Aged
- Pregnancy
- Pregnancy, Ectopic
(diagnosis)
- Reproducibility of Results
- Retrospective Studies
- Sensitivity and Specificity
- Uterine Neoplasms
(blood, diagnosis, surgery)
|