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- W1598594961 abstract "Since hysterectomy is no longer considered standard procedure in the treatment of malignant gestational trofoblastic disease (GTD), ultrasonography plays a major role in the detection of the myometrial involvement. The Ultrasonography is standardly used as one of the main diagnostic tools when GTD is suspected. It seems that the size of the mola is no longer considered predictive marker for malignant change. We demonstrate the role of ultrasonography as an excellent method in the treatment of presumed GTD particularly in the evacuation of possibly invasive mole or choriocarcinoma. The specimen for the diagnosis is obtained securely under the ultrasound supervision enabling us to control the diagnostic curettage and to prevent the possible uterine wall perforation. Together with serum hCG levels US and Doppler analysis are useful tools in the monitoring of the tumor regression in the course of chemotherapy. We demonstrate that possible ultrasonographic features of the tumor like intramyometrial signals and hypoechogenic areas (representing mainly arteriovenous malformations) may remain in the long term follow up of successfully treated GTD with negative hCG serum levels. Concluding that monitoring of serum hCG is of major clinical interest in the treatment of GTD suggesting the limited interpretation value of ultrasonographic finding." @default.
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- W1598594961 date "2000-10-01" @default.
- W1598594961 modified "2023-09-27" @default.
- W1598594961 title "F91The role of ultrasonography in the management of gestational trofoblastic disease: diagnostic, treatment and follow-up modality" @default.
- W1598594961 doi "https://doi.org/10.1046/j.1469-0705.2000.00015-1-90.x" @default.
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