Gestational Trophoblastic Neoplasia

Gestational Trophoblastic Neoplasia


INTRODUCTION


Includes


  Hydatidiform mole—Complete hydatidiform mole (CHM) and partial hydatidiform mole (PHM) (Table 24.1)


  Invasive mole (chorioadenoma destruens)


  Coexistent complete mole and live fetus


  Choriocarcinoma


  PSTT—Placental site trophoblastic tumor


Presentation


Vaginal bleeding


Uterine enlargement more than expected for gestational age (GA)


Abnormally high hCG levels


Prevaginal passage of vesicles


Low levels of maternal serum alpha-fetoprotein (MSAFP)


IMAGING


USG


Enlarged uterine cavity filled with heterogeneous mass with cystic spaces of varying sizes (BUNCH OF GRAPES appearance) (Figure 24.1)


  No fetal development in complete mole.


  B/L theca—lutein cysts in enlarged ovaries.


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Nov 6, 2018 | Posted by in ULTRASONOGRAPHY | Comments Off on Gestational Trophoblastic Neoplasia
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