value of ultrasonography and serial B. HCG assay in the selection of cases of complete molar pregnancy for chemotherapy

ABSTRACT

This study included fifty-five patients with complete hydatidiform mole aiming to assess the value of U/S, transabdominal [TAS], transvaginal [TVS] and serial B HCG assay in the selection of cases of complete hydatidiform mole for the use of chemotherapy. All patients were diagnosed by ultrasonography and B HCG assay and managed by suction evacuation under continuous ultrasonic monitoring and then were followed up with serial B HCG assay and ultrasonography. The results concluded that the use of ultrasound, B HCG assay in conjunction with suction evacuation under continues US monitoring in the management of complete molar pregnancy is invaluable to select cases of persistent gestational trophoblastic disease for chemotherapy and helps together with careful follow up to give the standard care in such cases