Author/Authors :
Malek، Mahrooz نويسنده Department of Radiology, Medical Imaging Center, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran Iran. Malek, Mahrooz , Moradi، Behnaz نويسنده Department of Radiology, Advanced Diagnostic and
Interventional Radiology Research Center (ADIR), Imam Khomeini
Hospital Complex, Tehran University of Medical Sciences, Tehran,
Iran , , Mousavi، Azam Sadat نويسنده Department of Gynecology Oncology, Imam Khomeini Hospital
Complex, Tehran University of Medical Sciences, Tehran,
Iran , , Ahmadinejad، Nasrin نويسنده Department of Radiology, Advanced Diagnostic and
Interventional Radiology Research Center (ADIR), Imam Khomeini
Hospital Complex, Tehran University of Medical Sciences, Tehran,
Iran , , Kazemi، Mohamad Ali نويسنده Department of Radiology, Advanced Diagnostic and
Interventional Radiology Research Center (ADIR), Imam Khomeini
Hospital Complex, Tehran University of Medical Sciences, Tehran,
Iran , , Gity، Masoumeh نويسنده Dept. of Radiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran ,
Abstract :
Transvaginal Ultrasonography is a noninvasive and inexpensive medical imaging tool used for the diagnosis of various diseases. To identify an effective method to identify high-risk patients for developing malignancy after molar evacuation. A prospective serial assessment of 19 patients with gestational trophoblastic disease was performed. Clinical and laboratory data, transvaginal ultrasound and Doppler findings were evaluated the day before evacuation. They were followed-up in the first week after evacuation and every two weeks during the next two months, then every month until the sixth month. Ovarian theca lutein cysts (P = 0.018) (among pre-evacuation factors) and first week ultrasound (P = 0.02) can help in detecting high-risk patients. Even though, when B-hCG titer is not available in a high-risk patient, post evacuation myometrial involvement (P = 0.005) is a useful sign for detecting persistency. Some ultrasonographic features of molar pregnancy have capability to predict malignancy in the course of disease.
