Placental site trophoblastic tumour: the value of transvaginal colour and pulse...

• Author(s): Bettencourt, E ; Pinto, E ; Abraúl, E ; Dinis, M ; Oliveira, CF
• Date: 1997
• Persistent ID: http://hdl.handle.net/10400.4/118
• Origin: Repositório do Centro Hospitalar e Universitário de Coimbra
• Subject(s): Tumor Trofoblástico de Localização Placentária; Ultrassonografia Doppler a Cores; Ultrassonografia Doppler de Pulso
• Document Type: Article
• Language: English

Description

The clinical, transvaginal sonography and colour flow mapping of one patient with placental site trophoblastic tumour is presented. Colour Doppler documented a marked increase in uterine vascularity, characterised by low diastolic flow suggestive of low resistance blood flow, without regression after completion of apparently successful chemotherapy, when negative beta-hCG plasma levels were obtained. Surgical treatment was based upon our experience with colour Doppler assessment of gestational trophoblastic tumours and a review of the literature. This case suggests that TV-CDS, performed serially, is very useful in monitoring patients during chemotherapy and in detecting residual tumour, and should greatly increase the accurancy of diagnosis of PSTT.