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Gynaecology & Obstetrics Gestational Trophoblastic Disease 8891b907

A 30-year-old female complains of vaginal bleeding for 2 weeks. A diagnosis of H mole is made by ultrasound scanning. Suction evacuation is performed and the diagnosis of a complete H mole is confirmed by HPE of curettings.What is the most appropriate next step in the management?

A
Give 1/m methotrexate daily for 5 days
B
Perform hysterectomy
C
Perform serum b-hCG levels weekly till the test becomes negative
D
Perform curettage after 2 weeks
High-Yield Explanation
Ans. is c, i.e. Perform serum b-hCG levels weekly till the test becomes negativeBest T/t for H mole is suction evacuation. No need for:1. Hysterectomy after it to give methotrexate if patient is not high risk.2. Best is to follow-up with weekly hCG.

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