Re: Abdominal Molar Pregnency

From: Joanne Bulley (islesannie@yahoo.com)
Fri Nov 10 16:48:42 2000


I agree with Malcolm Griffiths - you don't have the diagnosis by this alone.

Beta HCG, uterine evacuation, laparotomy if needed to get tissue diagnosis and cytoreductive surgery.

I have had a woman with an ectopic that I removed laparoscopically end up with abdominal trophoblastic disease. She has had complete resolution with chemotherapy. It was a while back - so I'd have to find the chart and see what she got treated with. We teamed with the gyn onc and hem onc folks to plan her therapy.

Joanne B

At Fri, 10 Nov 2000, Dr Sanjoy Kumar Saha wrote: >
>“A young lady of 20 years married for 4 months with irregular menstrual
>cycle after married presenting a lower abdominal midline non tender hard
>mass about 18 weeks of pregnancy size with restricted mobility. On USG
>show Abdominal Molar Pregnancy. Her Blood group is B + (positive).”
>
>Probably this is a very uncommon presentation. I am looking forward
>your valuable opinion regarding the plan of management of such a case.

--
Joanne Bulley, MD, FACOG
Keene, NH, USA

Take time to smell the roses.





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