Emergency hysterectomy for gestational trophlastic tumours

ABSTRACT

A total of 2,200 pregnant women's were admitted in Gynae unit Ill in Liaquat Medical College Hyderabad [LMCH] between 31st January to 30th August 1998 and during the same period 1376 women's delivered and 400 patients were admitted with abortion. At this rate of patients turn over, a total of 32 [2.32 percent] cases of gestational trophoblastic disease were admitted, of whom 2 were of choriocarcinoma. Thus the incidence of gestational trophoblastic disease was 4.3/1000 and choriocarcinoma. 0.68/1000 term deliveries. Both patients of choriocarcinoma were unfortunately subjected to emergency hysterectomy because of life threatening haemorrhage following initial curettage. In these young patients hysterectomy can be avoided if the condition is diagnosed early, treated with chemotherapy, as majority of patients can retain child bearing capacity and often have normal pregnancy after therapy