-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Persistent HCG From: art fougner, md (evsono@pipeline.com) Tue May 8 07:47:38 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman: "Making Their Case" Previous message: Joe Cutchin: "Re: Broad Ligament Phlegmon" silly question - what was the indication for the HCG? also - here's a zebra - placental site trophoblastic tumor - characterized by persitently low levels of HCG and an elevated HPL - possibly the only current indication for HPL these days. art At Mon, 7 May 2001, Myer S. Bornstein, MD, MMM, CPE, FACOG wrote: > >I would recheck the results at an other lab >Myer > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry >Siegel >Sent: Monday, May 07, 2001 9:40 PM >To: Multiple recipients of list OB-GYN-L >Subject: OB: Persistent HCG > >36 YO P1102, history of infertility, delivered at 36 weeks 14 months >ago. She is now seeing the quasi-REI (gyn who does infertility, cycle >management, IVF). Her cycles have been normal and monthly, but >somewhere her HCG was checked in the big commercial lab, and is 9, with >less than 5 being a non-pregnant value. > >Apparently, this doc has mentioned GTD/choriocarcinoma, and she called >me (her Ob) for advice. > >I'm a bit stumped; never say never, but I can't get too excited about an >HCG of 9. > >Is it: >1. Just the way it is for this woman? >2. Cross reactivity (I thought we got rid of that)? >3. A weird HCG producing tumor? > >My gut is to do nothing; maybe send a specimen to another lab or two, or >even a med school lab. > >Any thoughts? > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Dean Huffman: "Making Their Case" Previous message: Joe Cutchin: "Re: Broad Ligament Phlegmon"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 04:50:22 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.