The classic management of trophoblastic gestational non metastatic disease includes as a method of choice suction curettage followed by serial beta- HCG determinations at weekly intervals until serum HCG declines to undectable levels on 2 successive assays. In conclusion, HSC asportation of residual focal trophoblast in patients poorly responsive to chemotherapy and wishing to preserve their fertility may be a valid therapeutic alternative. This method must be carried out by experienced surgeons because of its increased risks of perforation, intravasation and molar diffusion.
TROPHOBLASTIC DISEASE: HYSTEROSCOPIC MANAGEMENT
LITTA, PIETRO SALVATORE;
1997
Abstract
The classic management of trophoblastic gestational non metastatic disease includes as a method of choice suction curettage followed by serial beta- HCG determinations at weekly intervals until serum HCG declines to undectable levels on 2 successive assays. In conclusion, HSC asportation of residual focal trophoblast in patients poorly responsive to chemotherapy and wishing to preserve their fertility may be a valid therapeutic alternative. This method must be carried out by experienced surgeons because of its increased risks of perforation, intravasation and molar diffusion.
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