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The use of middle cerebral artery Doppler ultrasonography to guide delivery of a viable pregnancy complicated by metastatic gestational chroriocarinoma
Background: Choriocarcinoma is a rare, aggressive subtype of gestational trophoblastic neoplasia. The diagnosis of metastatic choriocarcinoma in the setting of a viable intrauterine pregnancy is exceedingly rare and often associated with feto‐maternal hemorrhage. Case: An otherwise healthy Gravida 1...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029983/ https://www.ncbi.nlm.nih.gov/pubmed/28191180 http://dx.doi.org/10.1002/j.2205-0140.2013.tb00171.x |
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author | Thagard, Andrew S Dubil, Elizabeth A Lee, Amy Allard, Jay Zelig, Craig M |
author_facet | Thagard, Andrew S Dubil, Elizabeth A Lee, Amy Allard, Jay Zelig, Craig M |
author_sort | Thagard, Andrew S |
collection | PubMed |
description | Background: Choriocarcinoma is a rare, aggressive subtype of gestational trophoblastic neoplasia. The diagnosis of metastatic choriocarcinoma in the setting of a viable intrauterine pregnancy is exceedingly rare and often associated with feto‐maternal hemorrhage. Case: An otherwise healthy Gravida 1 Para 0 at 34 weeks gestational age presented with metastatic choriocarcinoma and a viable fetus. Measured Doppler peak systolic velocity of the middle cerebral artery was used to detect fetal anemia, thus optimising the timing of delivery. Conclusion: This is the first case report to our knowledge using Doppler ultrasonography to detect fetal anemia in an effort to guide delivery in a case of choriocarcinoma diagnosed during pregnancy. If choriocarcinoma is diagnosed during pregnancy, middle cerebral artery Doppler ultrasonography may serve as a critical tool to help detect anemia, allowing pregnancy prolongation to promote fetal maturity while screening for the development of feto‐maternal hemorrhage. |
format | Online Article Text |
id | pubmed-5029983 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-50299832017-02-10 The use of middle cerebral artery Doppler ultrasonography to guide delivery of a viable pregnancy complicated by metastatic gestational chroriocarinoma Thagard, Andrew S Dubil, Elizabeth A Lee, Amy Allard, Jay Zelig, Craig M Australas J Ultrasound Med Case Study Background: Choriocarcinoma is a rare, aggressive subtype of gestational trophoblastic neoplasia. The diagnosis of metastatic choriocarcinoma in the setting of a viable intrauterine pregnancy is exceedingly rare and often associated with feto‐maternal hemorrhage. Case: An otherwise healthy Gravida 1 Para 0 at 34 weeks gestational age presented with metastatic choriocarcinoma and a viable fetus. Measured Doppler peak systolic velocity of the middle cerebral artery was used to detect fetal anemia, thus optimising the timing of delivery. Conclusion: This is the first case report to our knowledge using Doppler ultrasonography to detect fetal anemia in an effort to guide delivery in a case of choriocarcinoma diagnosed during pregnancy. If choriocarcinoma is diagnosed during pregnancy, middle cerebral artery Doppler ultrasonography may serve as a critical tool to help detect anemia, allowing pregnancy prolongation to promote fetal maturity while screening for the development of feto‐maternal hemorrhage. John Wiley and Sons Inc. 2015-12-31 2013-05 /pmc/articles/PMC5029983/ /pubmed/28191180 http://dx.doi.org/10.1002/j.2205-0140.2013.tb00171.x Text en © 2013 Australasian Society for Ultrasound in Medicine |
spellingShingle | Case Study Thagard, Andrew S Dubil, Elizabeth A Lee, Amy Allard, Jay Zelig, Craig M The use of middle cerebral artery Doppler ultrasonography to guide delivery of a viable pregnancy complicated by metastatic gestational chroriocarinoma |
title | The use of middle cerebral artery Doppler ultrasonography to guide delivery of a viable pregnancy complicated by metastatic gestational chroriocarinoma |
title_full | The use of middle cerebral artery Doppler ultrasonography to guide delivery of a viable pregnancy complicated by metastatic gestational chroriocarinoma |
title_fullStr | The use of middle cerebral artery Doppler ultrasonography to guide delivery of a viable pregnancy complicated by metastatic gestational chroriocarinoma |
title_full_unstemmed | The use of middle cerebral artery Doppler ultrasonography to guide delivery of a viable pregnancy complicated by metastatic gestational chroriocarinoma |
title_short | The use of middle cerebral artery Doppler ultrasonography to guide delivery of a viable pregnancy complicated by metastatic gestational chroriocarinoma |
title_sort | use of middle cerebral artery doppler ultrasonography to guide delivery of a viable pregnancy complicated by metastatic gestational chroriocarinoma |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029983/ https://www.ncbi.nlm.nih.gov/pubmed/28191180 http://dx.doi.org/10.1002/j.2205-0140.2013.tb00171.x |
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