Robotic-assisted Laparoscopic Management of Chemoresistant Myoinvasive Complete Molar Pregnancy

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Abstract

Postmolar malignant conditions are rare after evacuation of a complete molar pregnancy. Both medical and surgical management have a role in the treatment of persistent gestational trophoblastic neoplasia. Treatment decisions must account for the natural history of the disease, previous therapies, site of disease, and the patient's desire for uterine preservation. We report on a woman who presented with chemotherapy-refractory persistent gestational trophoblastic disease (GTD). She was found to have isolated, persistent trophoblastic tissue within the uterine myometrium. She underwent a robotic-assisted laparoscopic hysterectomy with curative results. Minimally invasive surgical management may be an option for treatment of women with isolated myoinvasive GTD.

Original languageEnglish (US)
Pages (from-to)1100-1103
Number of pages4
JournalJournal of Minimally Invasive Gynecology
Volume22
Issue number6
DOIs
StatePublished - 2015

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

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