Article: A comparison of colour Doppler sonography and the pelvic arteriogram in assessment of patients with gestational trophoblastic disease

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TitleA comparison of colour Doppler sonography and the pelvic arteriogram in assessment of patients with gestational trophoblastic disease
AuthorsChan, FY1
Chau, MT1
Pun, TC1
Lam, C1
Ngan, HYS1
Wong, RLC1
Issue Date1995
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BJOG
CitationBritish Journal Of Obstetrics And Gynaecology, 1995, v. 102 n. 9, p. 720-725 [How to Cite?]
AbstractObjective - To assess whether colour Doppler sonography can replace pelvic arteriography in the assessment of patients with gestational trophoblastic disease. Design - An observational study in which patients with gestational trophoblastic disease were assessed with both pelvic arteriography and colour Doppler sonography. Setting The oncology unit of the Department of Obstetrics and Gynaecology, University of] long Kong. The unit is the main tertiary referral centre for treatment of trophoblastic diseases in Hong Kong. Subjects - Thirty-two consecutive women referred over an 18 month period. Main outcome measures The site of localisation of the tumour and the size of the tumour as assessed by both methods. Results - Eleven patients had a spontaneous fall of β-hCG titres and did not have pelvic arteriograms performed. The remaining 21 patients had both investigations performed. Four patients had no evidence of abnormal pelvic vessels either on colour Doppler sonography or on pelvic arteriography. Their raised β hCG titres were due to metastatic disease elsewhere. In the remaining patients the location of the tumour vessels was found to be concordant between the two methods of imaging. Measurements of the mean diameter of tumour bulk by the two methods also agreed well (r = 0.93, P < 0.0001). Pelvic arteriogram over-estimated the size of the tumour in two patients by 2 and 3 cm, respectively, but this did not alter the risk categories of the patients. Conclusion - Colour Doppler sonography is a noninvasive technique that can replace pelvic arteriography in the assessment of patients with trophoblastic diseases.
ISSN0306-5456
DC Field
Value
dc.contributor.authorChan, FY
dc.contributor.authorChau, MT
dc.contributor.authorPun, TC
dc.contributor.authorLam, C
dc.contributor.authorNgan, HYS
dc.contributor.authorWong, RLC
dc.date.accessioned2012-10-30T06:28:33Z
dc.date.available2012-10-30T06:28:33Z
dc.date.issued1995
dc.description.abstractObjective - To assess whether colour Doppler sonography can replace pelvic arteriography in the assessment of patients with gestational trophoblastic disease. Design - An observational study in which patients with gestational trophoblastic disease were assessed with both pelvic arteriography and colour Doppler sonography. Setting The oncology unit of the Department of Obstetrics and Gynaecology, University of] long Kong. The unit is the main tertiary referral centre for treatment of trophoblastic diseases in Hong Kong. Subjects - Thirty-two consecutive women referred over an 18 month period. Main outcome measures The site of localisation of the tumour and the size of the tumour as assessed by both methods. Results - Eleven patients had a spontaneous fall of β-hCG titres and did not have pelvic arteriograms performed. The remaining 21 patients had both investigations performed. Four patients had no evidence of abnormal pelvic vessels either on colour Doppler sonography or on pelvic arteriography. Their raised β hCG titres were due to metastatic disease elsewhere. In the remaining patients the location of the tumour vessels was found to be concordant between the two methods of imaging. Measurements of the mean diameter of tumour bulk by the two methods also agreed well (r = 0.93, P < 0.0001). Pelvic arteriogram over-estimated the size of the tumour in two patients by 2 and 3 cm, respectively, but this did not alter the risk categories of the patients. Conclusion - Colour Doppler sonography is a noninvasive technique that can replace pelvic arteriography in the assessment of patients with trophoblastic diseases.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationBritish Journal Of Obstetrics And Gynaecology, 1995, v. 102 n. 9, p. 720-725 [How to Cite?]
dc.identifier.epage725
dc.identifier.issn0306-5456
dc.identifier.issue9
dc.identifier.pmid7547763
dc.identifier.scopuseid_2-s2.0-0029093736
dc.identifier.spage720
dc.identifier.urihttp://hdl.handle.net/10722/173213
dc.identifier.volume102
dc.languageeng
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/BJOG
dc.publisher.placeUnited Kingdom
dc.relation.ispartofBritish Journal of Obstetrics and Gynaecology
dc.subject.meshAngiography
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshPelvis
dc.subject.meshPregnancy
dc.subject.meshPrognosis
dc.subject.meshRisk Assessment
dc.subject.meshTrophoblastic Tumor, Placental Site - Radiography - Ultrasonography
dc.subject.meshUltrasonography, Doppler, Color
dc.titleA comparison of colour Doppler sonography and the pelvic arteriogram in assessment of patients with gestational trophoblastic disease
dc.typeArticle
Author Affiliations
  1. Mater Mothers' Hospital