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Mola hydatiformeFrom: Alicia Lapidus (alapi@pccp.com.ar)Tue Sep 10 22:12:39 1996
I want to know what would the list do with a patient of 25 years. In her first pregnacy she developed a molar pregnancy, which was diagnodes at 8th weeks by ultrasound (Sub Unit beta was at that time 27.000 U). A D&C was performed. The pathologist said it was a complete mola with a tetraploid pattern. Three weeks later she has 680 U of sub unit beta of HCG. Seven weeks after the D&C the sub unit Beta was 988 U. What do you think is the best way of screening for her? Do you think the ultrasound (besides of couse of a chest Rx, etc.) would be of any use here. Is there any place for a second D&C; Is there anybody giving methotrexate before the 12 weeks without negativization of sub U B HCG? Thank you Alicia Lapidus Buenos Aires Argentina
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