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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 FieldValue
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
 
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<item><contributor.author>Chan, FY</contributor.author>
<contributor.author>Chau, MT</contributor.author>
<contributor.author>Pun, TC</contributor.author>
<contributor.author>Lam, C</contributor.author>
<contributor.author>Ngan, HYS</contributor.author>
<contributor.author>Wong, RLC</contributor.author>
<date.accessioned>2012-10-30T06:28:33Z</date.accessioned>
<date.available>2012-10-30T06:28:33Z</date.available>
<date.issued>1995</date.issued>
<identifier.citation>British Journal Of Obstetrics And Gynaecology, 1995, v. 102 n. 9, p. 720-725</identifier.citation>
<identifier.issn>0306-5456</identifier.issn>
<identifier.uri>http://hdl.handle.net/10722/173213</identifier.uri>
<description.abstract>Objective - 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 &#946;-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 &#946; 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 &lt; 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.</description.abstract>
<language>eng</language>
<publisher>Blackwell Publishing Ltd. The Journal&apos;s web site is located at http://www.blackwellpublishing.com/journals/BJOG</publisher>
<relation.ispartof>British Journal of Obstetrics and Gynaecology</relation.ispartof>
<subject.mesh>Angiography</subject.mesh>
<subject.mesh>Female</subject.mesh>
<subject.mesh>Humans</subject.mesh>
<subject.mesh>Pelvis</subject.mesh>
<subject.mesh>Pregnancy</subject.mesh>
<subject.mesh>Prognosis</subject.mesh>
<subject.mesh>Risk Assessment</subject.mesh>
<subject.mesh>Trophoblastic Tumor, Placental Site - Radiography - Ultrasonography</subject.mesh>
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Author Affiliations
  1. Mater Mothers' Hospital