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EP1136 Outcome of gestational trophoblastic disease in Lower Egypt
  1. R Hemida1,
  2. A Zakaria2,
  3. W Elrefaie3 and
  4. E Refaie2
  1. 1Mansoura University | Obstetrics and Gynecology
  2. 2Mansoura University, Mansoura
  3. 3Port Said University, Port Said, Egypt


Introduction/Background Gestational trophoblastic disease (GTD) defines a spectrum of proliferative disorders of trophoblastic epithelium of the placenta. Incidence, risk factors, and outcome may differ from a country to another.

Methodology An observational prospective study was conducted at the GTD Clinic of Mansoura University. The patients were recruited for 12 months from September 2015 to August 2016. The patients' characteristics, management, and outcome were reported.

Results We reported 71 clinically diagnosed GTD cases, 62 of them were histologically confirmed, 58 molar (33 CM and 25 PM) in addition to 4 initially presented GTN cases. Mean age of the studied cases was 26.22 years ± 9.30SD. Mean pre-evacuation hCG was 136170 m.i.u/ml ±175880 SD. Most of the cases diagnosed accidentally after abnormal sonographic findings (53.2%). Rate of progression of CM and PM to GTN was 24.2% and 8%, respectively.

Conclusion The incidence of molar pregnancy and GTN in our locality was estimated to be 13.1 and 3.2 per 1000 live births respectively. We found no significance between CM and PM regarding hCG level, time to hCG normalization, and progression rate to GTN.

Disclosure Nothing to disclose

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