Role of mechanical hysteroscopic tissue removal system in post-molar gestational trophoblastic neoplasia management: case report and literature review

被引：0

作者：

Schoenen, Sophie ^{[1
]}

Delbecque, Katty ^{[2
]}

Kridelka, Frederic ^{[1
]}

Hanocq, Florence ^{[1
]}

Goffin, Frederic ^{[1
]}

Nervo, Patricia ^{[1
]}

机构：

[1] Univ Liege ULiege, Hop Univ Liege, Dept Gynecol Obstet, Ave Hop 1, B-4000 Liege, Belgium

[2] Univ Liege ULiege, Hop Univ Liege, Dept Anat Pathol, Ave Hop 1, B-4000 Liege, Belgium

来源：

JOURNAL OF SURGICAL CASE REPORTS | 2025年 / 2025卷 / 04期

关键词：

hydatidiform moles; gestational trophoblastic neoplasia; hysteroscopic resection; 2ND CURETTAGE; DISEASE; DIAGNOSIS; PATHOLOGY;

D O I：

10.1093/jscr/rjaf190

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Complete hydatidiform moles are precancerous gestational trophoblastic diseases, with 15%-20% progressing to post-molar neoplasia. The gold standard treatment of low-risk neoplasia is single-agent chemotherapy. A second curettage is an alternative to avoid chemotherapy; hysteroscopic resection is not described in the guidelines. We report a case of post-molar neoplasia treated using a mechanical hysteroscopic tissue removal system (TruClear degrees) and review the limited literature on the subject. A patient was diagnosed with low-risk post-molar neoplasia in our department. Ultrasound evaluation revealed uterine trophoblastic retention, which was managed with mechanical hysteroscopic resection. In conclusion, hysteroscopic resection could be a potential alternative to second curettage in highly selected cases of low-risk post-molar neoplasia.

引用

页数：3

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