O922 Prevalence of gestational trophoblastic disease in ectopic pregnancy in O‐GUH

Tasha, Ilir; Tavo, V.; Dallaku, Kastriot

doi:10.1016/s0020-7292(09)61295-9

Cited by 5 publications

(5 citation statements)

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“…Ectopic molar pregnancies may be more common than previously perceived. In one published study, 79 patients underwent surgery for treatment of ectopic pregnancies, and in 18 cases a histological diagnosis of molar pregnancy was made ( Tasha et al, 2010 ). In this study, hCG levels were significantly higher for patients with molar pregnancies compared with non-molar pregnancies.…”

Section: Discussionmentioning

confidence: 99%

A rare case of gestational trophoblastic neoplasia following an ectopic molar pregnancy

Dollinger

Yeoshoua

Eitan

2021

Gynecologic Oncology Reports

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Highlights Ectopic molar pregnancies are a rare gynecological occurrence. Gestational trophoblastic neoplasia (GTN) can arise following an ectopic molar pregnancy. Histopathology should be sought and hCG levels should be monitored after surgical treatment of ectopic pregnancies. The combination of histopathology and serum hCG is gold standard for diagnosis of molar pregnancy and GTN.

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Section: Discussionmentioning

confidence: 99%

A rare case of gestational trophoblastic neoplasia following an ectopic molar pregnancy

Dollinger

Yeoshoua

Eitan

2021

Gynecologic Oncology Reports

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“…GTD is a group of rare tumors that can originate in any product of conception. Although GTD in ectopic pregnancy is quite rare, Tasha reported that GTD was found in approximately 18 of 100 ectopic pregnancies [3]. GTD is visualized as a heterogeneously hyperintense tumor on MRI [4].…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease

Suzuki

Chigusa

Hamanishi

et al. 2020

Case Reports in Obstetrics and Gynecology

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A well-known typical feature of ectopic pregnancy is an evident gestational sac structure outside of the uterus. However, some cases show atypical appearance that is described as a heterogeneous hypervascular mass. We report two cases of ectopic pregnancy that presented heterogeneous findings mimicking gestational trophoblastic diseases but were correctly diagnosed as ectopic pregnancies on MRI. The first case was an interstitial pregnancy in which the patient underwent surgical treatment. The second case was a cesarean scar pregnancy that was treated conservatively but showed spurious enlargement of pregnancy-related lesions after the treatment. Both cases lacked myometrial invasion on MRI, and the patients were diagnosed with ectopic pregnancies. Invasive findings on MRI may discriminate ectopic pregnancy from trophoblastic tumors and avoid unnecessary hysterectomy.

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“…However, as a consequence of the gestational nature of the disease, it is possible for patient's to develop GTD following an ectopic pregnancy. Studies have reported mixed prevalence of this, ranging from 0.16:1,000 deliveries to 1.56:1,000 [14,15]. This equates to roughly an 18% chance of GTD in ectopic pregnancy.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of an Ectopic Pregnancy in the Pouch of Douglas and a Review of Abdominal Ectopic Pregnancies

Gabbott¹,

Verasingam²

2019

JCR

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Introduction: It is predicted that the prevalence of abdominal ectopic pregnancy ranges between 1:10,000 to 1:30,000 pregnancies. Maternally mortality is high, at an estimated 5-18%. In this report, we detail a case of an ectopic pregnancy implanted in the pouch of Douglas secondary to tubal abortion. Case Report: A 29 year old pregnant female presented to Accident & Emergency with a 12 hour history of severe, constant right iliac fossa pain and vaginal bleeding. Patient had severe tenderness in the right adnexa. Her beta human chorionic gonadotropin serum level was 31,382 IU/L. Ultrasound scan revealed a mass next to the uterus. A provisional diagnosis of an ectopic pregnancy was made. Ovarian malignancy and gestational trophoblastic disease were also considered. Diagnostic laparoscopy revealed large complex mass in the pouch of Douglas which was removed. She recovered well following the surgery. Conclusion: Ultrasound remains the gold standard for investigating an ectopic pregnancy or to rule out other differentials that can clinically present in the same manner. However, as only 50% accuracy can be assumed when diagnosing an early abdominal ectopic with ultrasound, a high index of suspicion is required. A diagnostic laparoscopy is invaluable in diagnosis and management of an ectopic pregnancy.

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O922 Prevalence of gestational trophoblastic disease in ectopic pregnancy in O‐GUH

Cited by 5 publications

References 0 publications

A rare case of gestational trophoblastic neoplasia following an ectopic molar pregnancy

A rare case of gestational trophoblastic neoplasia following an ectopic molar pregnancy

Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease

A Rare Case of an Ectopic Pregnancy in the Pouch of Douglas and a Review of Abdominal Ectopic Pregnancies

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