1. NEOPLASIA TROFOBLÁSTICA GESTACIONAL: HOSPITAL FÉLIX BULNES CERDA, 1992 - 2002
- Author
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Sergio Aitken S, Alicia Benavides M., and Marcia Smirnow S
- Subjects
Gynecology ,medicine.medical_specialty ,business.industry ,Gestational trophoblastic disease ,Obstetrics and Gynecology ,enfermedad trofoblastica gestional ,Partial mole ,medicine.disease ,Surgery ,Molar pregnancy ,medicine ,Dysuria ,Vaginal bleeding ,Complete Mole ,gestational trophoblastic disease ,medicine.symptom ,business ,Hydatidiform mole ,Mola hidatidiforme ,Hypogastric pain - Abstract
RESUMENObjetivo: Analizar los hallazgos clinicos y el seguimiento de los casos de neoplasia trofoblasticagestacional. Material y Metodos: Se revisaron todos los casos de mola hidatidiforme en el Hospital FelixBulnes Cerda, entre los anos 1992 y 2002. Resultados: Se diagnosticaron 79 casos. La edad promediode las pacientes fue 26,4 anos. El diagnostico de mola hidatidiforme fue sospechado clinicamente en 75,6%y en 24,4% fue hallazgo anatomopatologico. Los principales sintomas al ingreso fueron: dolor hipogastrico(75,6%), nauseas y/o vomitos (32,1%) y disuria (19,2%). Entre los signos clinicos destacan sangradovaginal (83,3%), altura uterina discordante (25,3%) y expulsion de vesiculas (12,8%). La ecografia concluyomola hidatidiforme en 74,4% y quistes tecaluteinicos en 23,1%. Los hallazgos de anatomia patologicafueron mola completa (61,5%), mola parcial (31,2%) y coriocarcinoma (1,3%). En el seguimiento, 30,8% novolvieron a control y 23,1% tuvieron entre 7 y 12 controles. Conclusion: Los hallazgos de este estudio sonsimilares a los descritos en la literatura.PALABRAS CLAVES: Mola hidatidiforme, enfermedad trofoblastica gestionalSUMMARYObjective: To analyze the clinical findings and the follow-up of gestational trophoblastic neoplasia.Material and Methods: All cases of molar pregnancy at Felix Bulnes Hospital, Santiago de Chile, between1992 and 2002 were reviewed. Results: 79 cases were found. The average age of patients was 26.4years. The diagnosis of hydatidiform mole was clinically suspected in 75.6%, in the rest it was ananatomopathological finding. The main symptoms at admission were: hypogastric pain (75.6%), nauseaand / or vomiting (32.1%) and dysuria (19.2%). The clinical signs were: vaginal bleeding (83.3%),discordant uterine height (25.6%) expulsion of vesicles (12.8%). Ultrasound concluded hydatidiform molein 75.4% and tecaluteinic cysts in 23.1%. Anatomopathological diagnose were: complete mole (61.5%),partial mole (37.1%) and choriocarcinoma (1.3%). Follow-up: 30.8% didn’t come to control, and 23.1% hasbetween 7 and 12 controls. Conclusion: Our finding denote frequent characteristics observed in theliterature description.KEY WORDS: Hydatidiform mole, gestational trophoblastic disease
- Published
- 2004