Varied presentations of gestational trophoblastic disease in Asian women: one year follow up

Sumitra Bachani; Neha Pruthi; Sana Tiwari; Pratima Mittal

doi:10.18203/2394-6040.ijcmph20164751

Authors

Sumitra Bachani Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India
Neha Pruthi Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India
Sana Tiwari Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India
Pratima Mittal Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20164751

Keywords:

Choriocarcinoma, β-Hcg, Invasive mole, Molar pregnancy

Abstract

Gestational trohoblastic tumors are rare tumors which constitute less than 1% cancers of female reproductive system. They have varied presentations of which hydatidiform mole is most common. The incidence is higher in Asia and South America as compared to the rest of the world. We present a total of 5 cases of Gestational trophoblastic disease (GTD) constituting 12.2% of admissions in Gynaecology ward of a tertiary care hospital over one year. There are various risk factors which predispose to GTD include maternal age less than 20 years or more than 35 years, prior GTD, prior miscarriages, Asian ethnicity and blood group A. Commonly the woman presents with vaginal bleeding in first trimester. Sonography and β-hCG are decisive in establishing the diagnosis and further management. Follow up of the patient is very crucial. Early diagnosis and timely management results in good prognosis.