Friday, 20 March 2020

Mole -Follow up


Post evacuation what to note besides beta HCG initially in Serum /Later in Urine . ----- According to WHO the salient points to be considered after evacuations and prior to imitation of chemo  are  1) age, 2)Antecedent preg, 3)  Interval period between primary mole and later reappearance of symptoms (? Chorio Ca),  4) blood group, 5)  site & No of metastasis,  6) prior chemo IF ANY  . Post- evacuation contd haemorrhage for couple of weeks... WHO scoring is a modification of Bagsawe scoring? Charring Cross Classification of established GTN is also another modality of scoring and selecting appropriate Chemo. Overall risk of turning ordinary moles (I mean complete moles) which we come across varies from 10-30% but there are series where only 1 in 40 moles turns out to be Ca in later life racial differences are great, not to speak of Singapore, China, Japan.

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