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Re: your opinionFrom: Terry DuBose (terrydubose@sbcglobal.net)Sun Jul 8 11:11:38 2007
Dr. Mohile Your case has certainly revived discussion on this list. Very interesting. http://www.obgyn.net/ultrasound/?page=/ultrasound/present/0707/pregnancy_mole Many have offered opinions, and some have asked for more images and other results. http://forums.obgyn.net/ultrasound/index.html#archives We hope this has been helpful. Any follow-up will be welcome. Thanks, Terry J DuBose James Smeltzer <James.Smeltzer@wellstar.org> wrote: The vascularity of the uterus can be found with contraction after a SAb - as I saw in a case today. It has been found with a cornual mole once by me. It DOES suggest the possibility of a vascular neoplasm but I do not think it is the neoplasm itself, although I have limited experience with locally invasive moles of the uterus. - as apparently do others. See this rather thin list of ovid refs for ultrasound and invasive mole: I have also asked for jumps to relevant images to help sort this out. In conclusion I do NOT believe that molar tissue is proven in this case. HCG levels should be at their apex and falling soon. This would be the way I followed this case, as well as by US, of course. Asymmetric fetal SGA would be a sign for partial mole, as pointed out already. These almost never are invasive or metastatic. I would be surprised if this were one. Her history is VERY interesting and needs more elaboration. Thanks Jim S Ultrasound in Obstetrics and Gynecology Volume 3 Issue 1 Page 51-53, January 1993 To cite this article: M. T Chau, F. Y Ghan, T. C Pun, L Leong (1993) Perforation of the uterus by an invasive mole using color Doppler ultrasound: case report Ultrasound in Obstetrics and Gynecology 3 (1), 51–53. doi:10.1046/j.1469-0705.1993.03010051.x
1. Jain, Kiran A MD Gestational Trophoblastic Disease: Pictorial
Review. Ultrasound Quarterly. 21(4):245-253, December 2005.
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3. Hui, Pei MD, PhD *; Martel, Maritza MD *; Parkash, Vinita MD +
Gestational Trophoblastic Diseases: Recent Advances in Histopathologic
Diagnosis and Related Genetic Aspects. Advances in Anatomic Pathology.
12(3):116-125, May 2005.
| James S. Smeltzer, MD, FACOG, SMFM Consultant, Maternal Fetal Medicine Wellstar Physicians' Group Northwest Women's Care 787 Campbell Hill St Marietta GA 30060 James.Smeltzer@wellstar.org VM 678-290-3035 Off 770-528-0260 Page 404-318-3451
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