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Color Doppler sonography as an adjunct to repeat uterine evacuation for gestational trophoblastic disease: Case report
Author(s) -
Tsuyoshi Hideaki,
Sugita Genki,
Kurokawa Tetsuji,
Yoshida Yoshio
Publication year - 2013
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22043
Subject(s) - medicine , color doppler , doppler sonography , adjunct , gestational trophoblastic disease , obstetrics , pregnancy , transvaginal sonography , ultrasonography , gynecology , gestation , radiology , genetics , biology , philosophy , linguistics
ABSTRACT Repeat uterine evacuation is a therapeutic option for preserving fertility in patients with gestational trophoblastic neoplasms and chemoresistance, but remains controversial due to the risks of hemorrhage and perforation. A 25‐year‐old patient with low‐risk gestational trophoblastic neoplasm became chemoresistant; however, chemotherapy reduced intrauterine tumor vascularity as observed by color Doppler sonography, suggesting that patients could undergo uterine evacuation without major risk of bleeding. After 18 months, she achieved a normal pregnancy. Serial assessment of tumor vascularity with color Doppler sonography may provide information regarding the appropriate time to perform a repeat uterine evacuation without significant bleeding. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 41 :54–58, 2013