Sdn Bhd

Slide Digitization by:

Digital Slide Seminar:

 

Day 1 (03.45 - 05.15pm)

 

Prof Tan Geok Chin

Gestational Trophoblastic disease

Case 1:

  • 45 years old female

  • Presented with intermittent abdominal pain – 3 days

  • Reduced urine output

  • Exam: Abdomen tender and distended

  • Hb: 7.1 g/dL

  • B-hCG: 922,000 mIU/mL

  • Chest xray: Patchy consolidation of both lungs

  • CT scan: Pelvic mass of likely uterine origin

  • History of 2 miscarriages in 1994 and 1995

 

 

Case 2:

  • 35 years old female

  • G3P2

  • 24 weeks of gestation

  • Ultrasound found empty sac

  • B-hCG: 2078 mIU/mL

  • During evacuation found vesicles

  • Previous pregnancies were uneventful

 

Case 3:

  • 36 years old female

  • G5P3+1

  • 15 weeks of gestation

  • Ultrasound: Snowstorm appearance

  • B-hCG: 400,000 mIU/mL

 

Case 4:

  • 25 years old female

  • G1P0

  • 8 weeks of gestation

  • Presented with vaginal bleeding

  • B-hCG: 185,000

  • Ultrasound: Snowstorm appearance with no viable fetus

Case 5:

  • 38 years old

  • G6P4+1

  • 18 weeks of gestation

  • Β-hCG: 34,000 mIU/mL

  • Gross: A few grape-like vesicles are seen