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Gynaecology & Obstetrics Gestational Trophoblastic Disease c929188a

Treatment of the lutein cyst in hydatidiform mole is:

A
Ovarian cystectomy
B
Ovariectomy
C
Suction evacuation
D
Ovariotomy
High-Yield Explanation
Ans. is c, i.e. Suction evacuationRef. COGDT 10/e, p 889Management of theca lutein cysts:Theca lutein cysts are seen in H. mole due to high circulating levels of hCG.As such they donot need any separate treatment. Suction evacuation of H mole results in diminishing hCG titre, which leads to spontaneous regression of theca lutein cysts."Because theca lutein cysts regress following suction evacuation, expectant management is preferred". --William 24/e, p 398

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