The application of hysteroscopy in gestational trophoblastic disease

Abstract

Objective: The purpose of this article is to describe the application of hysteroscopy in different cases of gestational trophoblastic disease. Materials and methods: Three patients who presented with gestational trophoblastic disease were managed with hysteroscopy. The first case was a hydatidiform mole that underwent transcervical resection with endometrial curettage. The second case had a history of suction curettage for hydatidiform mole. She underwent transcervical resection for retained products of conception. The third case had a history of suction curettage for hydatidiform mole. In contrast with the second case, the patient had rising β human chorionic gonadotropin (β-HCG) values prior to transcervical resection and eventually underwent chemotherapy in the form of methotrexate. Results: The surgical procedure was uneventful in all three patients. All three operations were performed in <15 minutes. The blood loss was <50 mL, and there was no fluid deficit. Conclusion: Different cases of gestational trophoblastic disease can be managed effectively by hysteroscopy.

Keywords

• gestational trophoblastic disease
• gestational trophoblastic neoplasia
• hydatidiform mole
• hysteroscopy transcervical resection