Abstract

VAZQUEZ MARTINEZ, Yovany Enrique; BRITO GARCIA, Amanda; DELGADO PERUYERA, Liliam  and  VAZQUEZ MERAYO, Enrique José. Clinical characterization of gestational trophoblastic disease in "Ramón González Coro" obstetric and gynaecological hospital in the 2008-2012 period. Rev Cubana Hig Epidemiol [online]. 2014, vol.52, n.2, pp.173-181. ISSN 1561-3003.

Introduction: numerous research works have studied gestational trophoblastic disease; making emphasis on the importance of early diagnosis and treatment and have dealt with its characteristics in order to reduce incidence, relapse and/or complication rates Objective: to determine the clinical behavior of patients with gestational trophoblastic disease. Methods: observational descriptive and cross-sectional study was conducted in "Ramón González Coro" in obstetric and gynecological hospital. The sample was made up of 18 medical records of patients diagnosed with or suspected of gestational trophoblastic disease, regardless of their age and race, within the universe of all patients seen in the period of 2008 through 2012. Results: the main reasons for admission to hospital were vaginal bleeding, and the main sign in physical examination was blood outflow through the external cervical orifice. Most cases (83.4 %) were over 24 years-old. Almost all the patients (94 %) presented with augmented uterus. In this study, 83 % of cases were caused byr partial hydatid form mole. Conclusions: this study characterizes the clinical behavior of patients with gestational trophoblastic disease. The results are consistent with those observed in other studies as a support for evaluation and discussion of the results. This condition is characterized by occurring in women over 24 years of age, regardless of race, and its most significant signs on gynecological examination are vaginal bleeding and blood outflow from the external os.

Keywords : gestational trophoblastic disease; hydatidiform mole; choriocarcinoma.

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