Color Doppler sonography as an adjunct to repeat uterine evacuation for gestational trophoblastic disease: Case report. Issue 1 (28th March 2013)

• Record Type: Journal Article
• Authors: Tsuyoshi, Hideaki; Sugita, Genki; Kurokawa, Tetsuji; Yoshida, Yoshio
• Is Part Of: Journal of clinical ultrasound. Volume 41:Issue 1(2013:Jan.)
• Page Start: 54
• Page End: 58
• Publication Date: 2013-03-28
• Subjects: Ultrasonics in medicine -- Periodicals; 616.07543
• DOI: 10.1002/jcu.22043
• Languages: English
• ISSNs: 0091-2751

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <p>Repeat uterine evacuation is a therapeutic option for preserving fertility in patients with gestational trophoblastic neoplasms and chemoresistance, but remains controversial due to the risks of hemorrhage and perforation. A 25‐year‐old patient with low‐risk gestational trophoblastic neoplasm became chemoresistant; however, chemotherapy reduced intrauterine tumor vascularity as observed by color Doppler sonography, suggesting that patients could undergo uterine evacuation without major risk of bleeding. After 18 months, she achieved a normal pregnancy. Serial assessment of tumor vascularity with color Doppler sonography may provide information regarding the appropriate time to perform a repeat uterine evacuation without significant bleeding. © 2013 Wiley Periodicals, Inc. <italic>J Clin Ultrasound</italic><bold>41</bold>:54–58, 2013</p> </abstract>