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KMID : 0378119870140020506
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Chungnam Medical Journal
1987 Volume.14 No. 2 p.506 ~ p.512
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Ultrasonographic Finding of Trophoblastic Disease
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Abstract
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Ultrasongraphic findings of Trophoblastic disease were analysed in 28 cases which were confirmed by D·& E or hysterectomy during the period from March 1984 to Sep. 1987 at Chungnam University Hospital.
The results were follows.
1. There were 18 cases of complete mole, 5 cases of partial mole, 2 cases of invasive mole ana3 cases of choriocarcinoma.
2. The size of uterus in cases of known dates was large for dates in 9(64%) of 14 cases of complete mole and small for dates in 4(100%) of 4 cases of partial mole.
3. The uterine wall T·as well defined from intrauterine content in 19(83%) of 23 cases of H-mole and ill defined in 4(80%) of 5 cases of invasive mole and choriocarcinoma.
4. Typical homogeneous small vesicular echo pattern was in 8(44%) of 18 cases of complete mole and associated with variable degree of internal degeneration in 10 cases (56%).
5. Sonographic pattern of partial mole was variable and indistinguishable from complete mole and missed abortion.
6. Invasive mole and choriocarcinoma showed heterogeneous vesicular echo pattern with focal echogenic area or irregular sonolucent area and ill defined uterine wall.
7. Theca lutein cysts were combined in 6 cases(21%).
8. The accuracy of sonongraphic diagnosis was 89%.
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