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Re: persistent trophoblastic tumor From: art fougner, md (evsono@pipeline.com) Tue Sep 30 16:57:38 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Terry J. DuBose: "Re: persistent trophoblastic tumor" Previous message: Rich Dempsey RDMS/RVT : "persistent trophoblastic tumor" In reply to: Rich Dempsey RDMS/RVT : "persistent trophoblastic tumor" Next in thread: Terry J. DuBose: "Re: persistent trophoblastic tumor" Rich retained products of conception can have similar doppler characteristics - high peak systolic velocity with low RI. Seems as tho a curette might answer the question. It is, however, a good idea to get bloods in case this does not solve the problem. interestingly placental site trophoblastic tumor that i saw ( my vast experience of one case) the B-HCG was not terribly elevated but the HPL helped make the diagnosis. FOllow- up Please. art At Tue, 30 Sep 2003, Rich Dempsey RDMS/RVT wrote: > >Any one have information about the Doppler waveform for this type of >GTD? > >Patient was 4 weeks post elective AB (7 wk GA embryo) with continued >bleeding. A relatively small area of endometrium had a complex >appearance with a 3mm echogenic mass. With color Doppler this appeared >highly vascular. The RI was 0.4, PSV 50cm/s . For obvious reasons this >wasn't angle corrected, however sample gate was 2mm, and the beam was >(presumed ) to be perpendicular. > >OF COURSE bHCG was not available at time of scan. I have seen a fair >number of RPOC (retain products of conception) confirmed by pathology. >None had this vascular pattern, or appearance. > >I'm assuming the physician will also check hPL ( palacental lactogen) , >though I realize that these type of tumors are so rare as to be >unlikely. > >Can RPOC have a similar (Doppler) appearance? -- art fougner, md ich bin ein New Yorker Next message: Terry J. DuBose: "Re: persistent trophoblastic tumor" Previous message: Rich Dempsey RDMS/RVT : "persistent trophoblastic tumor" In reply to: Rich Dempsey RDMS/RVT : "persistent trophoblastic tumor" Next in thread: Terry J. DuBose: "Re: persistent trophoblastic tumor"

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