Human chorionic gonadotropin follow-up in patients with molar pregnancy: A time for reevaluation

作者: Colleen M Feltmate , Jozsef Batorfi , Vilmos Fulop , Donald P Goldstein , Jozsef Doszpod

DOI: 10.1016/S0029-7844(03)00009-7

关键词: Retrospective cohort studyGynecologyObstetricsHuman chorionic gonadotropinPregnancyMolarMolar pregnancyMedical recordPlacentaGonadotropinMedicine

摘要: Abstract Objective To determine how often patients with molar pregnancy do not complete recommended follow-up and to identify factors that may predict failure human chorionic gonadotropin (hCG) monitoring. This study also sought who relapse after attaining at least one undetectable hCG value. Methods Four hundred randomly selected were analyzed regarding the serum levels evacuation. Demographic determined for each patient: age, marital status, gravidity, parity, health insurance type, distance from patient residence trophoblastic center. Results Recommended was completed in 63% of uncomplicated 333 cases ( n = 211). Three twenty achieved level. Among 320 patients, 33% values but did follow-up. However, none had any evidence relapse. A greater than 20 miles patient’s our center associated P .001). Conclusion Because level has been diagnosed gestational tumor relapse, it be appropriate reassess duration monitoring pregnancy.

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