Open AccessThe application of hysteroscopy in gestational trophoblastic disease
Author(s) -
Angelica Anne A. Chua,
Kuan-Gen Huang,
KouJuey Wu
Publication year - 2016
Publication title -
gynecology and minimally invasive therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.441
H-Index - 12
eISSN - 2213-3089
pISSN - 2213-3070
DOI - 10.1016/j.gmit.2015.07.003
Subject(s) - gestational trophoblastic disease , medicine , hysteroscopy , curettage , molar pregnancy , methotrexate , human chorionic gonadotropin , choriocarcinoma , partial hydatidiform mole , products of conception , surgery , dilation and curettage , gestational sac , obstetrics , gestation , pregnancy , gynecology , fetus , abortion , placenta , hormone , genetics , biology
ObjectiveThe purpose of this article is to describe the application of hysteroscopy in different cases of gestational trophoblastic disease.Materials and methodsThree patients who presented with gestational trophoblastic disease were managed with hysteroscopy. The first case was a hydatidiform mole that underwent transcervical resection with endometrial curettage. The second case had a history of suction curettage for hydatidiform mole. She underwent transcervical resection for retained products of conception. The third case had a history of suction curettage for hydatidiform mole. In contrast with the second case, the patient had rising β human chorionic gonadotropin (β-HCG) values prior to transcervical resection and eventually underwent chemotherapy in the form of methotrexate.ResultsThe surgical procedure was uneventful in all three patients. All three operations were performed in <15 minutes. The blood loss was <50 mL, and there was no fluid deficit.ConclusionDifferent cases of gestational trophoblastic disease can be managed effectively by hysteroscopy