Gestational trophoblastic disease in Quetta

ABSTRACT

To find out the prevalence of gestational trophoblastic disease [GTD] in Quetta. The study was conducted in Radiology department of Bolan Medical Complex Hospital Quetta. From May 2000 to August 2004 about 15023 pregnant women were examined by trans-abdominal ultrasound with real time scanner. Of the total 61 cases were diagnosed as GTD. A limited number of cases were referred to histopathology for confirmation. The incidence of GTD was calculated as 4.06/1000 pregnancies. Out of 61 diagnosed cases of GTD, hydatidiform mole was seen in 52 cases, [85.2%]. The maternal age ranged from 17 to 47 years. Of the presenting symptoms 19 patients [31.1%] had excessive uterine bleeding, 11 [18%] had features of hyperemesis gravidarum while 25 patients [40.5%] had no complaints and underwent an ultrasound for confirmation of their pregnancy. Uterus was enlarged for dates in 33 patients. Thirtyfour patients [55.7%] belonged to the poor socioeconomic group and 28 were severely anemic. The prevalence of gestational trophoblastic disease in Quetta is around 4/1000 pregnancies