A 19-year-old primigravida is expecting her first child; she is 12 weeks pregnant by dates. She has vaginal bleeding and an enlarged-for-dates uterus. In addition, no fetal heart sounds are heard. The ultrasound shown below is obtained. 1- The most likely diagnosis of this woman’s condition is a. Sarcoma botryoides b. Tuberculous endometritis c. Adenocarcinoma of the uterus d. Hydatidiform mole e. Normal pregnancy 2- After uterine evacuation, management of the woman described above, who has no clinical or radiographic evidence of metastatic disease, should include a. Weekly hCG titers b. Hysterectomy c. Single-agent chemotherapy d. Combination chemotherapy e. Radiation therapy 3- Indications for instituting single-agent chemotherapy following evacuation of a hydatidiform mole usually include a. A rise in hCG titers b. A plateau of hCG titers for 1 week c. Return of hCG titer to normal at 6 weeks after evacuation d. Appearance of liver metastasis e. Appearance of brain metastasis
Posted on: Sat, 27 Dec 2014 21:52:27 +0000
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