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KMID : 0371219920130000151
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Medical Bulletin of the Presbyterian Medical Center
1992 Volume.13 No. 0 p.151 ~ p.158
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A clinical study on Gestational Trophoblastic Disease
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공지원/Gong, J.W.
정두수/이승철/정은신/이형열/이영혜/Jeong, D.S./Lee, S.C./Chung, E.S./Lee, H.Y./Lee, Y.H.
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Abstract
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This report was written to evaluate the clinical characteristics and the outcom 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.
The results were as follows : The incidence of GTD was 1:196 and the incidence of incidence of Hmole was 1:265. Abnormal vaginal bleeding was a main symptom and sign for early detection and the periodic check of beta subunits of Human Chorionic Gondadotropin was needed for diagnosis and following-up of the disease:
In the basis of Bagshawe´s prognostic scoring system, we divided the patient to two groups 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 lower-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 lower-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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