Diagnostic approaches to hydatidiform mole

University of Nebraska Medical Center DigitalCommons@UNMC MD Theses College of Medicine 5-1-1969 Diagnostic approaches to hydatidiform mole Frank ...
Author: Erica Patrick
0 downloads 1 Views 2MB Size
University of Nebraska Medical Center

DigitalCommons@UNMC MD Theses

College of Medicine

5-1-1969

Diagnostic approaches to hydatidiform mole Frank C. Cooper University of Nebraska Medical Center

Follow this and additional works at: http://digitalcommons.unmc.edu/mdtheses Recommended Citation Cooper, Frank C., "Diagnostic approaches to hydatidiform mole" (1969). MD Theses. Paper 570.

This Thesis is brought to you for free and open access by the College of Medicine at DigitalCommons@UNMC. It has been accepted for inclusion in MD Theses by an authorized administrator of DigitalCommons@UNMC. For more information, please contact [email protected].

DIAGNOSTIC APPROACHES TO HYDATIDIFORH MOLE

by

F. CHRISTOPHER COOPER, B. S.

For Presentation to the Thesis Committee · University of Nebraska, College of Medicine February 1, 1969

-

-·~··--

TABLE OF CONTENTS

Page

. . . . . . . . . . . . . . . . . . . . iii LIST OF ILIVSTRATIONS . . . . . . . . . . . . . . . . . . . . iv INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . v THE CLINICAL DIAGNOSIS OF HYDATIDIFORH KOLE • . . . . Epidemiology • • • • • • ........... Etiology • • • • • • . . 3 Pathogenesis • • • • • . . . . . . . . . . . . . 4 Pathology • • • • • • • • • 4 Clinical Symptoms and Signs ........ .. LIST OF TABLES

2

·2













$









.•

















e















6

THE USE OF HlfHAN CHORIONIC GONADOTROPIN IN THE DIAGNOSIS OF HYDATIDIFORH NOLE • • • • • • • • • • • • • • • • • • •

THE ULTRASOUND DIAGNOSIS OF HYDATIDIFORM HOLE

........

THE RADIOLOGIC DIAGNOSIS OF HYDATIDIFORM HOLE • • • • • • • • Roentgenograms of the Pelvis for Fetal Age and Death • Pelvic Angiography • • • • • • • • • • • • • • • • • • • • The Use of Radioactive Photoscanning in the Diagnosis of Hydatidiform Mole • • • • • Amniography • • • • • • • • • •

.. .

. .. . . . •• . • .• .. ....• ...• •

MINOR TESTS FOR THE DIAGNOSIS OF HYD.4TID KOLE

Fetal Heart Beat and Electrocardiogram Passage of the Uterine Sound Amnioscopy • • •

. . ..... ... ..• ... .• • CONCLUSION . . . . . . . . . . . . . . . . . . . . . . LIST OF REFERENCES . . . . . . . . . . . . . . . . . . . . . . 0

ii

9 20

26 26 27

31 32

36 36 36 37 38

41

LIST OF TABLES Page TABLE 1

Frequency with which Hydatidiform Mole has been Described in Relation to Pregnancy in Different Countries • • • • •

2

TABLE 2

Incidence of Mole by Age Group. • • • • • • • • • • • • •

3

TABLE 3

Bioassay Methods for Quantitative Determination of Human Chorionic Gonadotropin (HCG). • • • • • • • • • • • • • •

10

TABLE 4

Immuniological Methods for the Qll:antitative Determination of Human Chorionic Gonadotropin • • • • • • • • • • • • •

11

TABLE 5

The Variable Range of HCG Excretion in Molar Pregnancy. •

16

TABLE 6

HCG Titers for Various Factors in Cases of Hydatidiform Mole. • • • • • • • • • • • • • • • • •

... ... ...

17

TABLE 7 Comparison of Angiographic Features of the Normal Placenta and of Hydatidiform Mole. • • • • • • • • • • • • • • • • 30 TABLE 8

Comparison of the Accuracy of the Transabdominal and Endocervical Hystogram in 44 Suspected Cases of Hydatidiform Mole • • • • • • • • • • • • • • • • • • • •

iii

34

LIST 01

Suggest Documents