GESTATIONAL TROPHOBLASTIC DISEASE: EXPERIENCE AT A TERTIARY CARE HOSPITAL OF PESHAWAR

Abstract

Objective:

Material and Methods:

Results:

Conclusion:

Frequency of trophoblastic disease was high in this study compared to world and national

literature. Regular follow up and counseling is essential to decrease the mortality and morbidity from this

condition.

The frequency of Gestational trophoblastic disease was 11.8/1000 pregnancies or 17.6/1000

deliveries. Out of 45 cases of Gestational trophoblastic disease, 38 were hydatidiform mole (H. Mole) and

7 were choriocarcinoma. The commonest age group was 21-39 yrs (68.5%). The disease was common in

multigravida and grand multigravida (44%-40%). Variable period of amenorrhea associated with vaginal

bleeding was the main presenting symptom (99.5%). Seventy three percent (73.3%) of patient had suction

evacuation. Eighty percent (80%) of the patient did come for follow up. One patient died in case of

choriocarcinoma due to complication.

This was a descriptive study of 45 patient with Gestational trophoblastic disease

admitted in Gynae "B" unit of Lady Reading Hospital over a period of one year from first of August 1992

to thirty first July 1993. The case records of all these patients were analyzed regarding their clinical

presentation, investigation, treatment and follow up.

To find out the frequency, clinical presentation, type, extent and treatment modalities of

Gestational trophoblastic disease.