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Evaluation of a routine second curettage for hydatidiform mole: a cohort study
http://hdl.handle.net/2237/00032724
http://hdl.handle.net/2237/000327246c4968aa-92aa-433a-817d-4a11053bbdab
名前 / ファイル | ライセンス | アクション |
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Evaluation_of_a_routine_second_curettage_for_hydatidiform_mole (216.0 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-10-14 | |||||
タイトル | ||||||
タイトル | Evaluation of a routine second curettage for hydatidiform mole: a cohort study | |||||
言語 | en | |||||
著者 |
Yamamoto, Eiko
× Yamamoto, Eiko× Nishino, Kimihiro× Niimi, Kaoru× Watanabe, Eri× Oda, Yukari× Ino, Kazuhiko× Kikkawa, Fumitaka |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報 | “This is a post-peer-review, pre-copyedit version of an article published in [International Journal of Clinical Oncology]. The final authenticated version is available online at: http://dx.doi.org/10.1007/s10147-020-01640-x”. | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Gestational trophoblastic neoplasia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Hydatidiform mole | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Routine second curettage | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Elective second curettage | |||||
抄録 | ||||||
内容記述 | Objective: The aim of this study was to evaluate routine second curettage for hydatidiform mole (HM) by comparing the characteristics and outcomes of developing gestational trophoblastic neoplasia (GTN). Study design: This was a cohort study including 173 patients diagnosed with HM between January 2002 and August 2019 who were followed up at Nagoya University Hospital, Japan. After an evacuation, 105 and 68 patients were managed with the routine method (routine group) and elective method (elective group) for a second curettage, respectively. The routine second curettage was performed around 7 days after the first evacuation. Patients in the elective group underwent a second curettage if there was ultrasonographic evidence of molar remnants in the uterine cavity. Socio-clinical factors were retrospectively compared between the routine and elective groups, and between patients showing regression and those who developed GTN. Results: The incidence of GTN was 15.2% in the routine group and 20.6% in the elective group, and the difference was not significant (P = 0.364). The median GTN risk score was significantly higher in the routine group than in the elective group (P = 0.033). Presence of a complete HM, gestational age, and a pre-treatment human chorionic gonadotropin level of ≥ 200,000 mIU/mL were independent risk factors for GTN in molar patients. Conclusion: The incidence of GTN was unchanged but the risk score of GTN was higher in the routine group than in the elective group. Routine second curettage may not be necessary, but further study will be needed to confirm this. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
内容記述 | ||||||
内容記述 | ファイル公開:2021/06/01 | |||||
言語 | ja | |||||
内容記述タイプ | Other | |||||
出版者 | ||||||
言語 | en | |||||
出版者 | Springer | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1007/s10147-020-01640-x | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 1341-9625 | |||||
書誌情報 |
en : International Journal of Clinical Oncology 巻 25, 号 6, p. 1178-1186, 発行日 2020-06 |
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著者版フラグ | ||||||
値 | author |