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Management of complete molar pregnancy
R S Berkowitz1, D P Goldstein, B DuBeshter
1New England Trophoblastic Disease Center, Division of Gynecologic Oncology, Brigham and Women's Hospital, Boston, MA 02115.
The Journal of Reproductive Medicine
|September 1, 1987
Abstract:
This review of the current management of complete molar pregnancy is based upon the clinical experience at the New England Trophoblastic Disease Center. Suction curettage is the preferred method of molar evacuation regardless of uterine size in patients who desire to preserve fertility. Prophylactic chemotherapy may be useful in the management of high-risk molar pregnancy, especially when hormonal follow-up is either unavailable or unreliable. All patients must be followed with serial human chorionic gonadotropin levels to ensure that remission has occurred.