1993
DOI: 10.1016/0002-9378(93)90285-q
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Transvaginal ultrasonography in persistent trophoblastic tumor

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Cited by 20 publications
(11 citation statements)
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“…In this study we first aimed to monitor uterine‐lesion modifications, by means of gray‐scale and power Doppler, before and after MTX treatment in Stage‐I low‐risk GTN patients. Response to chemotherapy may be related either to dimensional or echogenic changes within the myometrial lesions or to reduction of blood supply assessed by Doppler ultrasound11. Second, we investigated whether signs of response at TVS may have a role in identifying patients not needing a switch to second‐line chemotherapy, thus differentiating chemoresistant patients from delayed responders.…”
Section: Introductionmentioning
confidence: 99%
“…In this study we first aimed to monitor uterine‐lesion modifications, by means of gray‐scale and power Doppler, before and after MTX treatment in Stage‐I low‐risk GTN patients. Response to chemotherapy may be related either to dimensional or echogenic changes within the myometrial lesions or to reduction of blood supply assessed by Doppler ultrasound11. Second, we investigated whether signs of response at TVS may have a role in identifying patients not needing a switch to second‐line chemotherapy, thus differentiating chemoresistant patients from delayed responders.…”
Section: Introductionmentioning
confidence: 99%
“…[4] Gray scale findings include a myometrial nodule that can either be hyperechogenic[67] or echopoor. [4] Alternatively, the tumoral mass is composed of anechoic cystic spaces which either represent extensive necrosis or vascular channels (arterio-venous shunts).…”
Section: Discussionmentioning
confidence: 99%
“…[4] Alternatively, the tumoral mass is composed of anechoic cystic spaces which either represent extensive necrosis or vascular channels (arterio-venous shunts). [7] This cystic appearance can mimic a mole, retained products of conception (RPOC), or arteriovenous malformation. Characteristic of CC is the presence of trophoblastic signals on spectral Doppler ultrasound, which include a high PSV with low impedance flow (due to arteriovenous shunts), a low RI, and color aliasing.…”
Section: Discussionmentioning
confidence: 99%
“…TVUS fi ndings of GTN are described as hypoechoic areas in the endometrium and intramyometrial nodules [ 53 ], clusters of high amplitude echoes within the myometrium representing invasive tumor with echo-free areas representing hemorrhage [ 54 ], and multiple "serpinginous anechoic channels" throughout the central part of the uterus [ 51 ].…”
Section: Ultrasound To Assess Presence and Volume Of Intrauterine Dismentioning
confidence: 99%