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M. Seckl, Neil Sebire, Ross Berkowitz (1998)
Gestational trophoblastic diseaseThe Lancet, 376
MD Zalel, MD Shalev, MD Yanay, Mds Schiff, MDt Weiner (1994)
A Large Yolk Sac: A Possible Clue to Early Diagnosis of Partial Hydatidiform MoleJournal of Clinical Ultrasound, 22
Berkowitz Berkowitz, Goldstein Goldstein, Bernstein Bernstein (1985)
Natural history of partial molar pregnancyObstet Gynecol, 66
R. Hilgers, J. Lewis (1974)
Gestational trophoblastic neoplasms.Gynecologic oncology, 2 4
R. Bronson, G. Vegte (1993)
An unusual first-trimester sonographic finding associated with development of hydatidiform mole: the hyperechoic ovoid mass.AJR. American journal of roentgenology, 160 1
M. Crade, P. Weber (1991)
Appearance of molar pregnancy 9.5 weeks after conception. Use of transvaginal ultrasound for early diagnosis.Journal of Ultrasound in Medicine, 10
Ronald Burmeister, MD, and Raelynn Tucker, BS Molar pregnancy is most often diagnosed as a spontaneous or missed abortion in the first trimester because hydropic villi are not seen on ultrasound examination.1 Endovaginal ultrasonography has made the visualization of hyperechoic structures possible in the first trimester, but the diagnosis of hydatidiform mole still remains challenging. This report describes the clinical and transvaginal ultrasonographic findings of a molar pregnancy diagnosed at 9 weeksâ menstrual age (MA). This represents the fourth case in the literature of a first trimester molar pregnancy detected by ultrasound. CASE REPORT A 28-year-old woman, gravida 3, para 1, abortion 1 (ectopic), was examined by ultrasound at approximately 6.5 weeks, MA, to rule out a second ectopic pregnancy. Obstetric history included a right linear salpingostomy at the time of removal of the ectopic pregnancy and one term child born by normal spontaneous vaginal delivery. The patient had also undergone an infertility workup which resulted in subsequent treatment with clomiphene citrate 6 months prior to this pregnancy. Initial endovaginal sonography verified the presence of an intrauterine pregnancy with a gestational sac 8.6 mm à 5.6 mm (Figure 1A and B) and yolk sac 2.4 mm in diameter.
Journal of Clinical Ultrasound – Wiley
Published: Jan 1, 1997
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