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The pregnancy that wasn’t: challenges of gestational trophoblastic neoplasia management in low- and middle-income countries

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CASE PRESENTATION A 26yearold G2 P0 A2 (gravida 2, parity 0, abortions 2) was referred to the gynecologic oncology clinic in Eldoret, Kenya with persistent vaginal bleeding 2 months after… Click to show full abstract

CASE PRESENTATION A 26yearold G2 P0 A2 (gravida 2, parity 0, abortions 2) was referred to the gynecologic oncology clinic in Eldoret, Kenya with persistent vaginal bleeding 2 months after uterine evacuation for an 8 week incomplete abortion at a peripheral facility. She had a good performance status on admission with a β human chorionic gonadotropin level of 50 000 mIU/mL, negative chest xray, and an ultrasound that showed a 3 cm intrauterine echogenic mass with increased vascularity on Doppler imaging. She did not have a repeat curettage at presentation to confirm the histologic diagnosis of hydatidiform mole, choriocarcinoma or placental site trophoblastic tumor.

Keywords: management low; trophoblastic neoplasia; neoplasia management; pregnancy challenges; gestational trophoblastic; challenges gestational

Journal Title: International Journal of Gynecological Cancer
Year Published: 2022

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