[Informativeness of angiography in trophoblastic tumors of the uterus]

A study was made of the resolving power of general and selective pelvic angiography with regard to specified diagnosis of trophoblastic tumors of the uterus. The informative value of general pelvic angiography was estimated by the results of angiomorphological correlations in 81 operated patients. The significance of selective pelvic angiography performed in 152 women was based on comparison of its results with those of pharmacoangiography supplemented by hysterography in 86 patients. The correctness of diagnosis in 26 of them was confirmed by operative findings. Analysis of the investigations has shown that general pelvic angiography allowed the detection of a tumor, its size and site in the uterus in 48% of the patients only. Selective pelvic angiography combined with pharmacoangiography was shown to be a method extending the diagnostic potentialities of pelvic angiography. In the authors' experience, it permitted obtaining a direct contrast image of a trophoblastic tumor or excluding its presence in the uterus of 85% of the examinees.