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Gynaecology & Obstetrics Hypertensive Disorders in Pregnancy ed1c14ea

Which type of trophoblstic disease has worst prognosis?

A
Post partum
B
After spontaneous abortion
C
After ectopic pregnancy
D
Hydatid mole
High-Yield Explanation
ANSWER: (A) Post partumREF: COGDT 10th edp. 892WHO Scoring System based on prognostic factors ScorePrognostic Factors0124Age (years)<39>39 Antecedent PregnancyHydatidiform MoleAbortionTerm--interval*44-67-1212hCG (IU/1)<103103-104104-105>105ABO groups female x male--O x AAx OBAB--Largest tumour including uterine tumours--3-5 Cm>5 Cm--Site of metastases--Spleen, KidneyGIT, LiverBrainNumber of metastases identified--1-44-8>8Prior Chemo-therapy----Single DrugTwo or more

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