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Re: hcg's rising after d&c for molar pregnancy on 4-17From: J.Glenn Bradley MD (anonymous@obgyn.net)Sun, 31 May 1998 14:25:00 -0500 (CDT)
At Sun, 31 May 1998, Karen wrote: > >I had a D & C for a molar pregnancy on 4-17-98. Lab work on 5-29 show a >significant rise in hcg levels. I will be repeating the blood work on >6-1 and am also scheduled for a chest x-ray to see if the cells have >spread to my lungs. The Oncologist I spoke with said I am looking at 90 >days of weekly chemo-therapy shots. I would like to know if there is an >alternative to this treatment and if anyone knows of any web sites which >may address this situation. > >-- >Karen Fisher Karen: The therapy offered to you has a track record going back about 30 years, with outstanding results. The cancer that can develop from a molar pregnancy, at one time was very vicious and often lethal. Methotrexate has a profound effect on trophoblast cells, and even if the cells have spread, the outlook generally is quite good. In most cases however, the persistent trophoblast cells,producing the persistent titers are retained in the uterus, and are not cancerous. Your oncologist is expert at dealing with this type of problem.If chemo definitely not acceptable,then surgery definitely needs to be considered ( repeat curettage, possible hysterectomy). Stay the course,and good luck!!! Dr.B >
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