| Gestational trophoblastic disease in ectopic pregnancy: A case series. | |
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MedLine Citation:
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PMID: 17086802 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe 6 cases of gestational trophoblastic disease (GTD) in ectopic pregnancy admitted to Hospital Universitario de Caracas (HUC). STUDY DESIGN: Medical records of 6 patients admitted to the Obstetrics and Gynecology Department, HUC, from 1996 to 2004 were reviewed. They underwent surgery with a diagnosis of ectopic pregnancy, and histologic analysis revealed GTD. Clinical trends were analyzed. RESULTS: The prevalence of GTD in ectopic pregnancy was 0.16:1,000 deliveries. The mean patient age was 29 years. The preceding gestation was a term delivery in 4 and abortion in 2. The mean gestational age at admission was 8 weeks. All patients complained of abdominal pain, and 3 of them also had vaginal bleeding. Ultrasound revealed an adnexal tumor in 5 cases; this tumor and hemoperitoneum (6 cases) were the most frequent surgical findings. Histopathologic diagnosis was partial mole in 5 and choriocarcinoma in 1. Four patients were lost to follow-up. CONCLUSION: In this series the prevalence of ectopic GTD was high. The condition can mimic the usual symptoms of ectopic pregnancy, especially when a hemoperitoneum is present. It is important to apply strict histologic criteria for GTD when a sample of ectopic pregnancy is analyzed and to monitor those patients with careful human chorionic gonadotropin follow-up. |
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Authors:
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Rafael Cortés-Charry; Lina M Figueira; Victoria García-Barriola; Carolina Gomez; Isabel Garcia; Carla Santiago |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 51 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2006 Oct |
Date Detail:
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Created Date: 2006-11-07 Completed Date: 2007-01-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 760-3 Citation Subset: IM |
Affiliation:
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Obstetrics and Gynecology Department, Hospital Universitario de Caracas, Universidad Central de Venezuela, Venezuela. rafacort083@cantv.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Gestational Trophoblastic Neoplasms / diagnosis, epidemiology*, etiology, pathology Humans Medical Records Pregnancy Pregnancy Outcome Prenatal Diagnosis Prevalence Retrospective Studies Uterine Neoplasms / diagnosis, epidemiology*, etiology Venezuela / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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