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Re: Gyn: persistent HCG From: art fougner, md (evsono@pipeline.com) Wed Nov 15 13:03:11 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: fran wilson: "Re: ACOG Statement" Previous message: Andrew Folley: "Re: Gyn: persistent HCG" In reply to: Andrew Folley: "Re: Gyn: persistent HCG" Next in thread: rmodugno@aol.com: "Re: Gyn: persistent HCG" Consider placental site trophoblastic tumor. http://www.hcglab.com/PSTT.htm A Zebra to be sure, but one worth considering. Art At Wed, 15 Nov 2006, Andrew Folley wrote: > >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 -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: fran wilson: "Re: ACOG Statement" Previous message: Andrew Folley: "Re: Gyn: persistent HCG" In reply to: Andrew Folley: "Re: Gyn: persistent HCG" Next in thread: rmodugno@aol.com: "Re: Gyn: persistent HCG"

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