Ultrasonographic analysis of trophoblastic disease

Abstract

Th e authors ana lyzed ultrasonographic findings of 112 cases of trophoblastic diseases wh ich we re confirm ed by D&E o r hysterectomy at Wallace Memorial Baptist Hospital from September 1980 to December 1984The res 비 ts were as follows;1. Of all 112 cases, hydatid ifo rm moles were 99 cases, invasive moles were 3 cases and chorioca rcinomas we re 10 cases 2. 81 cases (72%) occurred in 3rd decades 3. Th e .size of uterus was large for gestational weeks in 65 cases (56%) and smaller in 13 cases (13%) 4. Th e contour of uterus was globular in 59 cases (53%), diffuse in 49 cases (4 4%) and nodular in 4 cases (3%) 5. The internal echopatterns of uterus revealed numero us small vesic ular snowstorm patterns in all cascs, and revea led internal degeneration in 67 cases (60%) 6. Uterine walls in 89 cases (79%) were well delineated but uterine walls in 23 cases (21 %) were poor delineated 7. M ultiseptated ovarian theca lutein cysts we re seen in 36 cases (32%) 8. Invasive t rophoblastic diseases (invasive moles 3 cases and choriocarcinomas 10 cases) revealed sim ili ar ultrasonographic findings with H.mole, but more irregular internal echoes and irregular echoes in uterine wal l 9. Diagnostic acc uracy was diagnostic in 98 cases (88%), nonspecific in 11 cases (10%) and error in 3 cascs (2%)