Points to be recorded prior to evacuation of moles

Perfect Record keeping prior to evacuation pf moles is mandatory . Why.This may forecast possibility of development of GTN how frequent will be the follow up.Stop!!! Are you gaping to evacuate moles?? But before doing so please categorize the probability of future GTN? How to do that prior to evacuation or son after evacuation?? Such pre-evacuation some short prognostication is warranted to forecast the possibility of developing GTN in future life which foretells the possibility of developing Chorio Ca in later life, thereby mandate frequent follow up than “minimal risk) in first time evacuation

Earlier it was believed (even now some oncologists are convinced) that at the time of primary evacuation there are some salient features which may foretell the possibility of developing Neoplasia later. Therefore more frequent follow up is warranted in such high risk cases. That is classifying moles at first admission-as “low risk moles” or “higher risk category moles”. The association of following six points was considered as high risk group with increased possibility of Chorio-Ca in later life. Such adverse points are 1) too much uterine enlargement 2) initial beta hCG titre is high 3) association of Theca Leutin Cysts 4) Resp Distress Syndrome 5) H P evidence of too much proliferation .But this risk scoring is now fading out and this risk categorization is not to be confused with WHO Prognostic Scoring for GTN-which is done AFTER the onset frank Ca/ GTN for choosing mono/ multiple chemotherapeutic agents. So my dear forum members Pl document all these and preferably keep one copy in office file/ N Home records.