[Oral methotrexate in trophoblast seeding after laparoscopically treated tubal pregnancy].
The atypical course after laparoscopic conservative treatment of tubal pregnancy is described. Routine measurements of the serum HCG levels postoperatively showed, after a short period of decreasing HCG levels, a new increase of HCG values. Under the suspicion of a disseminated intraperitoneal trophoblastic tissue the patient was treated with 20 mg methotrexate q.i.d. per os for 5 days, as a result of which HCG levels returned to normal within a short time.
Römer
T
T
Universitäts-Frauenklinik, Enst-Moritz-Arndt-Universität Greifswald.
Lober
R
R
Riethdorf
L
L
D000328:Adult; D014408:Biomarkers, Tumor / Q000097:blood; D006063:Chorionic Gonadotropin / Q000097:blood; D018997:Chorionic Gonadotropin, beta Subunit, Human; D002828:Choristoma / Q000188:drug therapy*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008727:Methotrexate / Q000008:administration & dosage*; D010446:Peptide Fragments / Q000097:blood; D010534:Peritoneal Neoplasms / Q000188:drug therapy*; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000188:drug therapy / Q000601:surgery*; D012086:Reoperation; D012489:Salpingostomy; D014327:Trophoblasts
D014408:Biomarkers, Tumor; D006063:Chorionic Gonadotropin; D018997:Chorionic Gonadotropin, beta Subunit, Human; D010446:Peptide Fragments; D008727:Methotrexate