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Re: persistent trophoblastic tumorFrom: Rich Dempsey RDMS/RVT (ridem@msn.com)Tue Oct 7 17:39:13 2003
FOLLOW-UP: Just re-scanned the patient last night.(a 7 day follow-up.) No change in the complex focal (14mm)endometrial "thickness". The patient has stopped bleeding. She has not had a "normal period" since her TAB. Of interest is the area of intense color flow in no longer confined to a tiny(2mm) focus in the endometrium, but now asymmetrically involves a section of the adjacent myometrium. The RI= 0.4. The original Radiology report raised the question of healing uterine injury post TAB (pt did have a D&C w/o pathology work-up). The differential of RPOC was mentioned in the first report, but considered unlikely given the vascularity. Last night's study was read as "RPOC should be considered, with clinical follow-up recommended." Physician has not ordered a bHCG. I have seen the patient 2x at a clinical off-site, where there is no Radiologist present. I did recommend that any further sonograms be done at the hospital when a physician is available.
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