Seventy nine cases of trophoblastic disease were analyzed at the Department of Obstetrics and Gynecology, Chungnam National University from January, 1985 to October, 1989.
The results are as follows£º
l. Incidence of trophoblastic disease was one per 31.8 deliveries (3.15£¥), and it was pathologically consisted with partial mole (27.8£¥), complete mole (45.6£¥), invasive mole (17.7£¥), choriocarcinoma (8.9£¥)
2. Age group of 26 to 30 was found most frequent (40.5£¥) and primipara was the most frequent group (43.0£¥). There was no increase for the persistent disease according to age and para.
3. Clinical manifestations were vaginal bleeding (91.1£¥), the most common, nausea and vomiting (20.3£¥), abdominal pain (10.1£¥) and etc.
4. Molar pregnancies with excessive uterine enlargement were found in 35.6£¥ and were at increased risk for the persistent disease.
5. Antecedant pregnancies prior to trophoblastic disease where abortion (43.0£¥), term pregnancy (16.5£¥) and molar pregnancy (16.5£¥).
6. ¥â-hCG concentration before November, 1986 was significantly lower than after then. And the first postevacuation ¥â-hCG level was increased in cases of the persistent disease.
7. The treatment regimens in molar pregnancies were suction curettage with prophylactic Act-
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