Document Detail


Gestatational trophoblastic disease: multimodality imaging assessment with special emphasis on spectrum of abnormalities and value of imaging in staging and management of disease.
MedLine Citation:
PMID:  22085657     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gestational trophoblastic disease is a spectrum of disorders of varying malignant potential arising from trophoblastic cells and encompassing hydatidiform moles and persistent trophoblastic neoplasia. Ultrasound is the initial imaging investigation of choice when gestational trophoblastic disease is suspected. Complete hydatiform mole, the most common form of molar pregnancy, usually has a characteristic "cluster of grapes" appearance, especially on second-trimester ultrasounds. Persistent trophobastic neoplasia usually appears as a focal, hypervascular myometrial mass on pelvic ultrasound. Pelvic magnetic resonance imaging is often used as a problem-solving tool in equivocal or complicated cases of gestational trophoblastic disease to assess the degree of invasion into the myometrium and surrounding tissues. Chest x-ray, brain magnetic resonance imaging, and body computed tomography scans are primarily used for the evaluation of metastatic disease, which usually occurs in the context of choriocarcinomas. Choriocarcinoma metastases are usually hypervascular and have a tendency to bleed, features that are reflected in their imaging appearance.
Authors:
Kimia Khalatbari Kani; Jean H Lee; Manjiri Dighe; Mariam Moshiri; Orpheus Kolokythas; Theodore Dubinsky
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current problems in diagnostic radiology     Volume:  41     ISSN:  1535-6302     ISO Abbreviation:  Curr Probl Diagn Radiol     Publication Date:    2012 Jan-Feb
Date Detail:
Created Date:  2011-11-17     Completed Date:  2012-01-19     Revised Date:  2012-03-06    
Medline Journal Info:
Nlm Unique ID:  7607123     Medline TA:  Curr Probl Diagn Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1-10     Citation Subset:  IM    
Copyright Information:
Published by Mosby, Inc.
Affiliation:
Department of Radiology, University of Washington, Seattle, 98195, USA. khalatk@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Choriocarcinoma / diagnosis
Female
Gestational Trophoblastic Disease / diagnosis*,  pathology,  therapy
Humans
Hydatidiform Mole / diagnosis
Immunohistochemistry
Magnetic Resonance Imaging
Positron-Emission Tomography
Pregnancy
Tomography, X-Ray Computed
Ultrasonography, Prenatal
Uterine Neoplasms / diagnosis*,  pathology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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