title: Color Doppler sonography as an adjunct to repeat uterine evacuation for gestational trophoblastic disease: case report.
abstract: Repeat uterine evacuation is a therapeutic option for preserving fertility in patients with gestational trophoblastic neoplasms and chemoresistance, but remains controversial due to the risks of hemorrhage and perforation. A 25-year-old patient with low-risk gestational trophoblastic neoplasm became chemoresistant; however, chemotherapy reduced intrauterine tumor vascularity as observed by color Doppler sonography, suggesting that patients could undergo uterine evacuation without major risk of bleeding. After 18 months, she achieved a normal pregnancy. Serial assessment of tumor vascularity with color Doppler sonography may provide information regarding the appropriate time to perform a repeat uterine evacuation without significant bleeding.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medical Sciences University of Fukui, Fukui, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Tsuyoshi
authors.forename: Genki
authors.initials: G
authors.lastname: Sugita
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Kurokawa
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Yoshida
mesh_terms: D000328:Adult; D004107:Dilatation and Curettage; D005260:Female; D031901:Gestational Trophoblastic Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011247:Pregnancy; D012086:Reoperation; D018615:Ultrasonography, Doppler, Color
keywords: color Doppler sonography; gestational trophoblastic disease; gynecology; sonohysterography; uterus