Re: your opinion
From: Paula Woletz (pwoletz@aium.org)
Fri Jul 6 07:24:57 2007
The gestational sac of the fetus appears to have
a normal placenta, so my guess would be either a
dizygotic twin gestation (one normal and one
molar pregnancy), or a pregnancy and, given the
absence of much normal myometrium, coexistent
invasive mole. Given the patient's history and
the appearance of the myometrium, I think the
second scenario is the more likely
possibility. I don't have the clinical
background to offer an opinion on the outcome of
the pregnancy or the management of the patient.
Paula
At 02:31 PM 7/5/2007, you wrote:
>We have a current case on which an opinion is
>requested. Please take a look at this case
>and let the physician know if you think it is a coexisting mole/
><http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole>http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole
>
>Thanks, Terry
>
>Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
>
>Associate Professor & Director
>Diagnostic Medical Sonography Program
>University of Arkansas for Medical Sciences, CHRP
>4301 West Markham St. Mail Slot #563
>Little Rock, Arkansas, 72205 USA
>501-686-6510 or 501-686-5948
>DuBoseTerryJ@UAMS.edu
><http://www.uams.edu/chrp/sonography/>http://www.uams.edu/chrp/sonography/
>http://www.obgyn.net/us/panel/panel.htm
><http://www.io.com/~dubose/>http://www.io.com/~dubose/
>---------------------------------------------------------------
>
>---------------------------------------------------------------
>----------
>---------------------------------------------------------------
>From: Donna Wyant [mailto:Donna_Wyant@hotmail.com]
>Sent: Thursday, July 05, 2007 12:37 PM
>To: DuBose, Terry; 'nila mohile'
>Cc: 'Donna Wyant'; 'Barbara Nesbitt'
>Subject: RE: your opinion
>
>Hi Terry,
>
>Here is the page for you. Let me know if you
>would like any changes
>made.
><http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole>http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole
>
>Donna
>
>Donna Wyant
>Special Sections Content Coordinator
>OBGYN.net <http://www.obgyn.net/>http://www.obgyn.net
><mailto:Donna.Wyant@obgyn.net>Donna.Wyant@obgyn.net
>
>From: DuBose, Terry [mailto:DuboseTerryJ@uams.edu]
>Sent: Thursday, July 05, 2007 10:39 AM
>To: nila mohile
>Cc: Donna Wyant; donna.wyant@obgyn.net; Barbara Nesbitt
>Subject: RE: your opinion
>
>Dr. Mohile, it certainly does look like a
>co-existing mole… however, let us post it and get more opinions.
>
>Donna, can you post these images right away and
>let me have the URL so we can call for
>opinions. I have already clipped the patient’s ID. Please use this text:
>
>“Please opine on this usg.G4P1 with 2 previous
>vesicular moles has 16 weeks live foetus, normal
>looking placenta and fluid. Entire myometrium
>shows change almost like mole, which is highly
>unlikely. So is this mole? Please help.
>Dr. Mohile <mailto:nilamohile@hotmail.com>nilamohile@hotmail.com ”
>
>Thanks, Terry
>
>Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM
>
>Associate Professor & Director
>Diagnostic Medical Sonography Program
>University of Arkansas for Medical Sciences, CHRP
>4301 West Markham St. Mail Slot #563
>Little Rock, Arkansas, 72205 USA
>501-686-6510 or 501-686-5948
>DuBoseTerryJ@UAMS.edu
><http://www.uams.edu/chrp/sonography/>http://www.uams.edu/chrp/sonography/
>http://www.obgyn.net/us/panel/panel.htm
><http://www.io.com/~dubose/>http://www.io.com/~dubose/
>---------------------------------------------------------------
>
>---------------------------------------------------------------
>----------
>---------------------------------------------------------------
>From: nila mohile [mailto:nilamohile@hotmail.com]
>Sent: Wednesday, July 04, 2007 2:24 PM
>To: terry.dubose@obgyn.net
>Subject: your opinion
>
>Dear Dr. Dubose,
> I could not send this mail to ultrasound forum
> and hence directing to you.Please opine on this
> usg.G4P1 with 2 previous vesicular moles has 16
> weeks live foetus, normal looking placenta and
> fluid.Entire myometrium shows change almost
> like mole, which is highly unlikely. So is this mole? Please help.
>Dr. Mohile.
>
>----------
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>
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--
Paula S. Woletz, MPH, RDMS, RDCS, FAIUM
Director of Accreditation and Clinical Affairs
American Institute of Ultrasound in Medicine
14750 Sweitzer Lane, Suite 100
Laurel, MD 20707-5906
(301) 498-4100
(800) 638-5352
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