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KMID : 0358419940370020266
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Korean Journal of Obstetrics and Gynecology
1994 Volume.37 No. 2 p.266 ~ p.273
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A Clinical Study on Gestational Trophoblastic Disease
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공지원
이승철/정은신/이형열/이영혜
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Abstract
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This report was written to evaluate the clinical characteristics and the outcome of management of trophoblastic disease which had been diagnosed at Presbyterian medical Center in Chonju.
From January 1984 to June 1990, 92 cases were diagnosed of trophoblastic disease. Among them, we dealt retrospectively 62 cases which its chronicle was satisfied.
@ES The results were as follows;
@EN The incidence of GTD was 1:196 and the incidence of H-mole was 1: 265. Abnormal vaginal bleeding was a main symptom and sign for early detection and the periodic check of beta subunits of Human Chrionic Gondadotropin was needed for diagnosis
and
following-up of the disease.
In the basis of Bagshawe's Prognostic scoring system, we dividd the patient to two group; the one was lower risk group below 7 score and the other was high-risk group above 7 score. Most common antecedent pregnancy of GTD was abortion in low-risk
group
and full term pregnancy in high-risk group. We depended the management on the surgical method and/or chemotherapy. Overall rate of remission was 100% in low-risk group, 82.1% in high-risk group and subsequent pregnancies were not different from
general
population relatively.
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KEYWORD
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