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Re: persistent HCGFrom: Dr. A. Hensenne (cdtg@skynet.be)Fri Aug 29 18:12:26 1997
Are you calling about gestational trophoblastic desease? ...? Dr A.Hensenne cdtg@skynet.be 72 rue verte 4100 Seraing (LIEGE) - Belgium - Gynécologie médicale et chirurgicale
-- ---------- : De : John Sobeck <babydoc@pacifier.com> : A : Multiple recipients of list <ob-gyn-l@talk.obgyn.net> : Objet : Re: persistent HCG : Date : samedi 30 août 1997 00:22 : : On Fri, 29 Aug 1997, Geffrey Klein wrote: : : > Here is a strange case that I need help with... : > : > 25 y/o G1 LMP 6/13 presented to EC 8/10 with bleeding per vagina and : > cramps. U/S was neg, HCG was 14, os was closed, and exam was : > unremarkable. Diagnosis was complete AB. No tissue available for : > permanent section. Pt sent home. : > : > 8/13 HCG 11 : > 8/16 HCG 13 : > 8/20 HCG 24 Progesterone 0.4 : > 8/22 HCG 47 Chemistries and CBC were normal : > : > On 8/20 patient was not bleeding and she was hemodynamically stable. : > Mild RLQ discomfort. Exam unremarkable. : > : > 8/22 Patient received 75 mg methotrexate IM for a presumed ectopic : > pregnancy (She is 2 squared meters, but I was fairly certain 75 mg : > would be enough considering the low level of HCG) : > : > 8/28 HCG 38 Chemistries and CBC were normal : > : > She is hemodynamically stable and has no complaints today.. Pain has : > resolved. : > : > I gave her 100 mg mtx today.. any suggestions if that doesn't work? : : She needs a sampling. This is similar to a case I had of Placental site : tumor. : : I think 1/4 of GTD or in this case Placental site tumors are after 1st tri : pregnancies NOT recognized as molar : : John Sobeck, MD, FACOG : Vancouver, WA :
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