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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Evaluation of a routine second curettage for hydatidiform mole: a cohort study

http://hdl.handle.net/2237/00032724
http://hdl.handle.net/2237/00032724
6c4968aa-92aa-433a-817d-4a11053bbdab
名前 / ファイル ライセンス アクション
Evaluation_of_a_routine_second_curettage_for_hydatidiform_mole.pdf Evaluation_of_a_routine_second_curettage_for_hydatidiform_mole (216.0 kB)
Item type 学術雑誌論文 / Journal Article(1)
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

WEKO 101644

en Yamamoto, Eiko

Search repository
Nishino, Kimihiro

× Nishino, Kimihiro

WEKO 101645

en Nishino, Kimihiro

Search repository
Niimi, Kaoru

× Niimi, Kaoru

WEKO 101646

en Niimi, Kaoru

Search repository
Watanabe, Eri

× Watanabe, Eri

WEKO 101647

en Watanabe, Eri

Search repository
Oda, Yukari

× Oda, Yukari

WEKO 101648

en Oda, Yukari

Search repository
Ino, Kazuhiko

× Ino, Kazuhiko

WEKO 101649

en Ino, Kazuhiko

Search repository
Kikkawa, Fumitaka

× Kikkawa, Fumitaka

WEKO 101650

en Kikkawa, Fumitaka

Search repository
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
著者版フラグ
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