Re: Gyn: persistent HCG

From: Andrew Folley (agfolley@hotmail.com)
Wed Nov 15 11:43:53 2006


I would like to know what the path from the uterine sampling showed. Secondly consider methotrexate 50,g/m2 one dose and continue to follow the hcg levels weekly until <5. andrew

>From: garrys@mindspring.com (Garry E. Siegel, M.D.)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Gyn: persistent HCG
>Date: Tue, 14 Nov 2006 18:21:24 -0600
>
>34 YO P2002
>ER 10/25 with acute abdominal pain, exam c/w acute abdomen, HCG 292,
>scan showing empty uterus and free fluid.
>
>Lapscope--400 ml blood, normal tubes/pelvis save a clot from the left
>tube in the fibriated end. My diagnosis was a tubal abortion, and
>nothing done other than evacuation.
>
>HCG two days later 113.
>Next week, 95, then 96 a couple of days later.
>Now, 2.5 weeks postop, it is 224. The exam yesterday (when blood was
>drawn) was normal.
>
>What's next?
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA





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