Molar Pregnancy

被引:147
作者
Berkowitz, Ross S. [1 ]
Goldstein, Donald P.
机构
[1] Brigham & Womens Hosp, Div Gynecol Oncol, Dept Obstet & Gynecol, Boston, MA 02115 USA
关键词
GESTATIONAL TROPHOBLASTIC DISEASE; COMPLETE HYDATIDIFORM MOLE; UNDETECTABLE HCG LEVELS; FOLLOW-UP; ORAL-CONTRACEPTIVES; NATURAL-HISTORY; LOW-RISK; DIAGNOSIS; NEOPLASIA; MANAGEMENT;
D O I
10.1056/NEJMcp0900696
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A healthy 37-year-old woman presents at 10 weeks of pregnancy with vaginal bleeding. Physical examination shows that the uterine size is appropriate for gestational age. The level of serum human chorionic gonadotropin (hCG) is 22,000 mIU per milliliter. Ultrasonography does not show an identifiable fetal heartbeat. After receiving a clinical diagnosis of missed abortion, the patient undergoes evacuation of the uterus; pathological examination indicates a complete molar pregnancy. How should this case be managed?
引用
收藏
页码:1639 / 1645
页数:7
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