molar pregnancy-early pregnancy care part 2
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A 35-year-old woman presents to the early pregnancy unit with moderate vaginal bleeding. An ultrasound is performed, which reports a complete molar pregnancy. What would be the genetic complement and parental origin of the complete molar pregnancy?
The same 21-yr old woman re-attends hospital 15 weeks later with persistent vaginal bleeding. Her serum HCG has risen to 6000 mIU/ml
A woman has attended the gynaecology clinic to discuss a diagnosis of a molar pregnancy. What is the definitive method of diagnosis?
A 43-yr old multiparous woman is diagnosed with gestational neoplastic disease 3 months following a surgical termination. Her serum HCG is 10,000 mIU/ml. she has 2 small (1 cm) metastases in the lung
A 21-yr old woman attended the hospital at 6 wks of amenorrhea and a +ve home pregnancy test. A likely miscarriage was diagnosed on USG and she opted for surgical evacuation. Product of conception demonstrated partial H. mole.
A 24-yr old multiparous woman is diagnosed with GTN 6 months following a partial mole and has a single 6 cm metastasis in the liver
. A 21-yr old primiparous woman who has had a previous molar pregnancy is now pregnant one year later. Her pregnancy appears to be progressing well. How would u manage her following delivery?
8) What percentage of partial molar pregnancies consist of tetraploid or mosaic conceptions?
The general practitioner calls to ask about the immediate follow-up of a woman who had a suction evacuation of a complete molar pregnancy. What is your advice?
A woman has undergone surgical management of miscarriage and the histology confirms Gestational Trophoblastic Disease (GTD). What is the expected incidence of GTD in the United Kingdom?
Following appropriate treatment of complete and partial molar pregnancies, what percentage of women need additional chemotherapy in each case, respectively?
You are reviewing a 36-year-old woman who has undergone a surgical evacuation for a molar pregnancy. Which one of the following forms part of the FIGO scoring system for gestational trophoblastic disease (GTD)?
A woman has had an ultrasound scan and the possibility of a molar pregnancy with a coexisting twin has been raised by the sonographer. The woman has been referred to a regional fetal medicine centre for further investigations. What would be the most appropriate investigation?
woman has had surgical management of miscarriage and a molar pregnancy has been confirmed. Which immunohistochemistry marker is useful for distinguishing between partial and complete molar pregnancies?
A woman has been diagnosed with high-risk gestational trophoblastic neoplasia (GTN) and is about to receive multiagent chemotherapy. What is the expected cure rate?
A woman has undergone surgical management of miscarriage and a partial molar pregnancy has been confirmed. Referral to a specialist centre is advised. Where are the three specialist referral centres in the United Kingdom?
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