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Re: persistent trophoblastic tumorFrom: Terry J. DuBose (duboseterryj@uams.edu)Mon Oct 6 16:48:14 2003
Terry J. DuBose writes: >Dear LN. Did you upload these images to the FTP folder? Is there any medical history or text that we can use to post these as a case study? > >Thanks for your participation. Terry J DuBose > >ultrasound@obgyn.net writes: >Uterine arteries show Increased diastolic flow in persistant GTD > >Pics at: > >ftp://ftp.obgyn.net/pub/ULTRASOUND/molar1.jpg - >ftp://ftp.obgyn.net/pub/ULTRASOUND/molar2.jpg - >ftp://ftp.obgyn.net/pub/ULTRASOUND/molar3.jpg - > >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? >> > >Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM >Assistant Professor & Director, Diagnostic Medical Sonography Program >University of Arkansas for Medical Sciences, CHRP >4301 West Markham St. Mail Slot #563 >Little Rock, Arkansas, 72205 USA >501-686-6510 >DuBoseTerryJ@UAMS.edu >http://www.io.com/~dubose/ >http://www.uams.edu/chrp/dms/default.asp >http://www.obgyn.net/us/panel/panel.htm >
-- Terry J. DuBose, M.S., RDMS, FSDMS, FAIUM Assistant Professor & Director, Diagnostic Medical Sonography Program University of Arkansas for Medical Sciences, CHRP 4301 West Markham St. Mail Slot #563 Little Rock, Arkansas, 72205 USA 501-686-6510 DuBoseTerryJ@UAMS.edu http://www.io.com/~dubose/ http://www.uams.edu/chrp/dms/default.asp http://www.obgyn.net/us/panel/panel.htm
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