HDlive Flow for Diagnosis of Invasive Mole

JOURNAL TITLE: Donald School Journal of Ultrasound in Obstetrics and Gynecology

Author
1. Megumi Ishibashi
2. Chiaki Tenkumo
3. Tomoya Yamashita
ISSN
0973-614X
DOI
10.5005/jp-journals-10009-1579
Volume
13
Issue
1
Publishing Year
2019
Pages
3
Author Affiliations
    1. Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Miki, Kagawa, Japan
    1. Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Miki, Kagawa, Japan
    1. Department of Perinatology and Gynecology, Kagawa University, Graduate School of Medicine, Kagawa, Japan
  • Article keywords
    HDlive flow, HDlive flow silhouette, HDlive silhouette inversion mode, Invasive mole, Radiant flow

    Abstract

    Our experience of using HDlive flow or HDlive flow silhouette to diagnose invasive moles is presented. In the first case, a large ill-defined hypervascular mass occupying the entirety of fundal and anterior lesions of the uterus was identified using HDlive flow silhouette. The patient was successfully treated with methotrexate. In the second case, a circumscribed hypervascular tumor of the uterus was identified with HDlive flow. This patient was refractory to methotrexate and actinomycin-D and was successfully treated with etoposide, methotrexate, actinomycin D, cyclophosphamide, vincristine (EMA/CO). Based on ultrasound features, the difference in drug susceptibility between chemosensitive and refractory invasive moles may be due to the vascularity of the mass in the uterus.

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