Re: persistent trophoblastic tumor

From: Dr. Fazeel-uz-Zaman (fazeel@abt.wol.net.pk)
Mon Oct 6 16:02:51 2003


Great

-----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Latha Natarajan Sent: Monday, October 06, 2003 11:24 PM To: Multiple recipients of list ULTRASOUND Subject: Re: persistent trophoblastic tumor

Uterine arteries show Increased diastolic flow in persistant GTD

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LN.

> -----Original Message-----
> From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
> Rich Dempsey RDMS/RVT
> Sent: Wednesday, October 01, 2003 2:48 AM
> To: Multiple recipients of list ULTRASOUND
> Subject: persistent trophoblastic tumor
>
> 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?
>




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