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KMID : 0358419760190090653
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Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 9 p.653 ~ p.670
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Clinical characteristics of trophoblastic disease in korean women
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최성기/Choi SK
김경태/김수평/박종각/김승조/Kim KT/Kim SP/Park JK/Kim SJ
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Abstract
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1. The each incidence of hydatidiform mole, destructive mole and choriocaricinoma was 0.48%, 0.03% and 0.66% Trophoblastic diseases seemed to be annually increasing 2. Maternal age and poor socioeconomic status were related to probable etiologic factors of the tropphoblastic disease, but gravidity and parity were not proportinated . 3. By classifying with ABO blood type among 162 trophoblastic patients, A type was most common(40.7%) but the orders of frequency were accordance with the expected distribution of blood types in korean women. 4. Antecedent pregnancy was abortion in 49.2% of hydatidiform mole, 45.5% of destructive mole and 39.1% of choriocaricinoma and it was most common. 37.3% of choriocarcinoma occured after hydatidiform mole. 5. The most common symptom among trophoblastic patients was vaginal spotting or bleeding and its average duration was about 1 month. 6. 60.4% of hydatidiform mole had increased uterine size comparing for gestational date, and 10.7 had small-for-date uteri. 7. metastasis among 187 hydatidiform mole was discorved in 12 cases (6.6%) Among 52 patients with metastatic choriocaricinoma (89.1%) 50.8% of them had lung metastasis, 8.5% to the cervix and 6.8% to the vagina. 8. By goldsteins therapeutic classification class 1 was most common (56.8%) and then class 5 (14.8%) class 3(10.3%) class 4 (10.9%) and class 2 (5.4%) in order.
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