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- W208003284 abstract "To aid in the clinical decision making involved with persistent ectopic gestation, a total of 329 operative procedures for tubal gestation were reviewed. Six of 114 (5.3%) cases treated conservatively had persistent trophoblastic activity. The decline in serum β-human chorionic gonadotropin (hCG) and progesterone (P) at 3 and 6 days postoperatively was similar in the “persistent ectopic” and the “resolved ectopic” groups. However, beyond day 6 both β-hCG percentage of baseline and P level were significantly higher in the “persistent ectopic” (> 22.6 ± 6.6%, > 3.4 ± 0.7 ng/ml, respectively) than the “resolved ectopic” group (< 2.7 ± 0.8%, < 0.2 ± 0.05 ng/ml, respectively). Four patients underwent a second operation, whereas two were managed expectantly. These data suggest that the diagnosis of persistent ectopic gestation is best made by an initial measurement of serum β-hCG or P at 6 days postoperatively, and at 3 day intervals thereafter. The choice of management may be determined by various factors including serum β-hCG and patient s symptoms." @default.
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- W208003284 date "1988-10-01" @default.
- W208003284 modified "2023-10-06" @default.
- W208003284 title "Persistent tubal ectopic gestation: patterns of circulating β-human chorionic gonadotropin and progesterone, and management options" @default.
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- W208003284 doi "https://doi.org/10.1016/s0015-0282(16)60187-5" @default.
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