The natural history of theca lutein cysts.

Abstract:

:The histories of 386 patients with untreated hydatidiform mole were reviewed to define the clinical aspects of accompanying theca lutein cysts. These cysts occurred in 102 patients (26.4%), with three patients experiencing cyst-related complications. Mean cyst size at diagnosis was 7.3 cm (3-20 cm), and did not correlate with post-molar trophoblastic disease development. Bilateralism occurred more often in patients developing post-molar trophoblastic disease. In patients with post-molar trophoblastic disease, 83% (45 of 54) experienced theca lutein cyst regression and 16.7% an increase in cyst size with falling beta-hCG titers. Post-molar trophoblastic disease developed in 44 patients. Theca lutein cyst growth occurred in 31.8% of the patients with beta-hCG plateau/rise and in 4.5% with falling titers. Disappearance of theca lutein cysts before diagnosis of post-molar trophoblastic disease occurred in 31.8%. Theca lutein cysts persisted in three patients for long periods (15-18 weeks) after beta-hCG regression. We conclude that theca lutein cysts commonly accompany hydatidiform mole and are associated with an increased risk of post-molar trophoblastic disease, a risk that is higher with cyst bilateralism or severe complications of hydatidiform mole. Theca lutein cysts uncommonly have serious complications; their clinical behavior does not depend entirely on changes in beta-hCG levels, as cysts may persist for long periods after beta-hCG regression.

journal_name

Obstet Gynecol

authors

Montz FJ,Schlaerth JB,Morrow CP

subject

Has Abstract

pub_date

1988-08-01 00:00:00

pages

247-51

issue

2

eissn

0029-7844

issn

1873-233X

journal_volume

72

pub_type

杂志文章
  • Cycle control with a 21-day compared with a 24-day oral contraceptive pill: a randomized controlled trial.

    abstract:OBJECTIVE:To compare bleeding patterns between a 21/7-day triphasic norgestimate/ethinyl estradiol (E2) 25-microgram oral contraceptive pill (OCP) and a 24/4-day drospirenone/ethinyl E2 20-microgram OCP. METHODS:In a three-cycle, open-label, multicenter study, healthy, sexually active women were assigned randomly to a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AOG.0b013e3181beab47

    authors: Kaunitz AM,Burkman RT,Fisher AC,LaGuardia KD

    更新日期:2009-12-01 00:00:00

  • Vaginal hysterectomy for sterilization.

    abstract::Vaginal hysterectomy for sterilization was performed on 115 patients. The Heaney technique was used by nine gynecologists, using lidocaine and adrenaline. The average age of patients was 32.2 years and average parity 3.2. Significant unsuspected pathology was found after surgery in 21 patients. One postoperative d...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Atkinson SM Jr,Chappell SM

    更新日期:1972-05-01 00:00:00

  • Clinical and laboratory evaluation of patients with primary amenorrhea.

    abstract::Sixty-two patients with primary amenorrhea were retrospectively categorized into 4 groups: 1) breast development absent and uterus present (29 patients), 2) breast development present and uterus absent (9 patients), 3) both breast development and uterus absent (2 patients), and 4) both breast development and uterus pr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mashchak CA,Kletzky OA,Davajan V,Mishell DR Jr

    更新日期:1981-06-01 00:00:00

  • Dysgerminoma in the differential diagnosis of hydatidiform mole.

    abstract::Serum measurements of beta-human chorionic gonadotropin (beta-hCG) for pregnancy tests are now positive at very low levels (25 mIU/mL). Sonography is the diagnostic method of choice for patients with the possibility of intrauterine trophoblastic disease. A case is reported in which ultrasound confused an ovarian neopl...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198603001-00027

    authors: Roberts DK,Wells MM,Horbelt DV

    更新日期:1986-03-01 00:00:00

  • Immunologic thrombocytopenic purpura and pregnancy: six new cases.

    abstract::Six new cases of idiopathic thrombocytopenic purpura (ITP) associated with pregnancy are reported; one of these patients delivered triplets. In addition, 78 patients with 122 pregnancies and 124 fetuses have been reported previously. The maternal mortality rate was 4% and the fetal mortality rate was 18%. Prior recomm...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-197805000-00018

    authors: O'Reilly RA,Taber BZ

    更新日期:1978-05-01 00:00:00

  • A maternal and perinatal mortality in pregnancy complicated by the kyphoscoliotic form of Ehlers-Danlos syndrome.

    abstract:BACKGROUND:Ehlers-Danlos syndrome is a group of inherited connective tissue diseases demonstrating autosomal-dominant, autosomal-recessive, and X-linked inheritance patterns. The diagnosis can be established by clinical, biochemical, and genetic findings. CASE:Our nulliparous patient presented with an unspecified diag...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181898cbf

    authors: Esaka EJ,Golde SH,Stever MR,Thomas RL

    更新日期:2009-02-01 00:00:00

  • The implications of a false positive second-trimester serum screen for Down syndrome.

    abstract:OBJECTIVE:To investigate the genetic and obstetric implications of false positive Down syndrome serum screening results. METHODS:The study population comprised 162774 women underwent triple marker screening in the Ontario Maternal Serum Screening program between October 1995 and September 1998, with outcomes obtained ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00235-7

    authors: Summers AM,Huang T,Meier C,Wyatt PR

    更新日期:2003-06-01 00:00:00

  • Subclinical spontaneous abortion.

    abstract::Blood samples were obtained from 5 women during the menstrual cycle in which they had conceived. Although neither the women nor their physicians were clinically aware that conception had occurred, one or more of the blood specimens from each woman contained human chorionic gonadotropin (hCG), as measured by a specific...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Braunstein GD,Karow WG,Gentry WD,Wade ME

    更新日期:1977-07-01 00:00:00

  • A Novel Porcine Stomach Tissue Model for Laparoscopic Colpotomy Simulation.

    abstract:BACKGROUND:Hysterectomies are the most common benign gynecologic surgical procedures performed in the United States. Currently, there are no tissue models that exist to teach trainees the techniques for colpotomy during laparoscopic hysterectomy. To address this educational gap, we have created a laparoscopic colpotomy...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003333

    authors: Cho M,Ulrich A,Lam C,Lerner V

    更新日期:2019-07-01 00:00:00

  • The case-control study: a primer for the obstetrician-gynecologist.

    abstract::Case-control studies begin at the end. Two groups of patients, those with disease (cases) and those without (controls), are compared to determine the degree of exposure to a presumed risk factor. This research method is commonly used to study rare diseases or diseases that take years to develop. If a higher proportion...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Peipert JF,Grimes DA

    更新日期:1994-07-01 00:00:00

  • Nonstress test and maternal serum glucose determinations.

    abstract::Serum glucose levels were measured in 50 nondiabetic pregnant women between 33 and 43 weeks' gestation following a nonstress test (NST) to determine the relationship between maternal glucose levels and the results of the NST. Two comparable groups of 25 patients each were formed based on the NST results, reactive and ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Phelan JP,Kester R,Labudovich ML

    更新日期:1982-10-01 00:00:00

  • Intravenous iron therapy for severe pregnancy anemia with high erythropoietin levels.

    abstract:BACKGROUND:To demonstrate that intravenous (IV) iron therapy rapidly can secure the physiologic correction of severe nonhemorrhagic anemia more safely than blood component therapy and recombinant erythropoietin treatment. CASE:An 18-year-old woman with beta-thalassemia in her 33rd week of gestation had a hemoglobin le...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00261-5

    authors: Carretti N,Paticchio MR,Eremita GA

    更新日期:1997-10-01 00:00:00

  • S.O.S! I'm short of breath!

    abstract:BACKGROUND:There are various causes of shortness of breath in a young, pregnant woman. The importance of entertaining a broad differential diagnosis is highlighted in this case. CASE:A young, pregnant African-American woman presented in her third trimester with acute onset of shortness of breath. A team approach by di...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000267318.56856.2a

    authors: Uppalapati R

    更新日期:2007-06-01 00:00:00

  • Umbilical cord plasma cortisol levels in association with pregnancy complications.

    abstract::Cortisol concentrations in umbilical cord plasma at birth were determined in association with pregnancy complications which may affect the time of pulmonary maturation of the fetus or otherwise influence its survival. No statistically significant change in these cortisol levels was observed in either term or premature...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sybulski S

    更新日期:1977-09-01 00:00:00

  • Ascending herpetic endometritis.

    abstract::Two cases of herpetic endometritis are reported. In both patients, the disease developed from documented herpetic cervicitis via transcervical ascension. One patient recovered spontaneously. Generalization and death occurred in the other patient, a renal transplant recipient treated with immunosuppressive agents. The ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Schneider V,Behm FG,Mumaw VR

    更新日期:1982-02-01 00:00:00

  • Intimate Partner Sexual Assault: Traumatic Injuries, Psychological Symptoms, and Perceived Social Reactions.

    abstract:OBJECTIVE:To compare the consequences of sexual assault based on the relationship of the woman to her named assailant. METHODS:From January 2008 to March 2011, we conducted an observational and prospective study of females older than age 15 years who were examined at a sexual assault referral center. Data were collect...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001288

    authors: Seyller M,Denis C,Dang C,Boraud C,Lepresle A,Lefèvre T,Chariot P

    更新日期:2016-03-01 00:00:00

  • Burkitt's lymphoma involving the ovary and jaw.

    abstract::Unilateral jaw and ovarian Burkitt's lymphoma occuring in an adult American female is reported. The patient was treated with a combination of surgery, radiation, and chemotherapy. The diagnosis, treatment, prognosis, and relapse patterns are briefly reviewed as they relate to the specialty of gynecology. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Giere JW,Binder RA

    更新日期:1976-07-01 00:00:00

  • Patient Experiences With Miscarriage Management in the Emergency and Ambulatory Settings.

    abstract:OBJECTIVE:To quantitatively and qualitatively describe the patient experience for clinically stable patients presenting with miscarriage to the emergency department (ED) or ambulatory clinics. METHODS:We present a subanalysis of a mixed-methods study from 2016 on factors that influence miscarriage treatment decision-m...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003571

    authors: Miller CA,Roe AH,McAllister A,Meisel ZF,Koelper N,Schreiber CA

    更新日期:2019-12-01 00:00:00

  • Severity of 2009 pandemic influenza A (H1N1) virus infection in pregnant women.

    abstract:OBJECTIVE:To examine 2009 H1N1 influenza illness severity and the effect of antiviral treatment on the severity of illness among pregnant women. METHODS:We abstracted medical records from hospitalized pregnant (n=62) and nonpregnant (n=74) women with laboratory-confirmed 2009 H1N1 influenza in New York City, May throu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181d57947

    authors: Creanga AA,Johnson TF,Graitcer SB,Hartman LK,Al-Samarrai T,Schwarz AG,Chu SY,Sackoff JE,Jamieson DJ,Fine AD,Shapiro-Mendoza CK,Jones LE,Uyeki TM,Balter S,Bish CL,Finelli L,Honein MA

    更新日期:2010-04-01 00:00:00

  • The 4-S modification of the Roeder knot: how to tie it.

    abstract:BACKGROUND:The 4-S modification of the Roeder knot may be tied laparoscopically as a single-throw knot. TECHNIQUE:It is tied by adding a fourth wrap around the suture loop and securing the loop in place with a square knot rather than a single half-hitch. EXPERIENCE:We have used this knot in laparoscopic surgeries for...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00492-4

    authors: Sharp HT,Dorsey JH

    更新日期:1997-12-01 00:00:00

  • Pelvic and para-aortic lymphadenectomy for surgical staging of endometrial cancer: morbidity and mortality.

    abstract::This analysis compared retrospectively the morbidity and mortality of patients with endometrial cancer who had total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH/BSO) alone or with pelvic and para-aortic lymphadenectomy performed by the same surgeon at one private institution. Between August 1987 a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Larson DM,Johnson K,Olson KA

    更新日期:1992-06-01 00:00:00

  • Pregnancy following surgical correction of nonfused müllerian bulbs and absent vagina.

    abstract::The authors treated a 15-year-old girl with a nonfused mullerian system and absence of the cervix and vagina. Surgical reconstruction of the uterus and vagina were performed, after which menstruation first appeared. Postoperative fibrotic stenosis obliterated almost the entire vagina except for a fine uterovaginal fis...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Singh J,Devi YL

    更新日期:1983-02-01 00:00:00

  • Use of recombinant activated factor VII in primary postpartum hemorrhage: the Northern European registry 2000-2004.

    abstract:OBJECTIVE:To collect data from nine European countries for cases of obstetric hemorrhage between 2000 and 2004 in which recombinant activated factor VII (rFVIIa) was used. METHODS:The cases were identified through national surveys. Standardized case report forms included sociodemographic details, past medical and obst...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000288515.48066.99

    authors: Alfirevic Z,Elbourne D,Pavord S,Bolte A,Van Geijn H,Mercier F,Ahonen J,Bremme K,Bødker B,Magnúsdóttir EM,Salvesen K,Prendiville W,Truesdale A,Clemens F,Piercy D,Gyte G

    更新日期:2007-12-01 00:00:00

  • Heterotopic pregnancy in a natural conception cycle presenting as hematometra.

    abstract:BACKGROUND:Heterotopic pregnancy is a rare event in natural conception cycles. Diagnosis of heterotopic pregnancy requires a high index of suspicion. Described herein is a reported case of a heterotopic pregnancy presenting as hematometra. CASE:A young, multiparous woman, with her last menstrual period 6 weeks before ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000142698.17433.cd

    authors: Cheng PJ,Chueh HY,Qiu JT

    更新日期:2004-11-01 00:00:00

  • Survey of forceps delivery in North America in 1990.

    abstract:OBJECTIVE:To determine whether opinions and practice patterns have markedly changed over the past decade and whether clinicians are cognizant of the new ACOG definitions for forceps deliveries. METHODS:Two hundred ninety-five United States and Canadian residency programs were surveyed via a questionnaire; 203 (69%) re...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Ramin SM,Little BB,Gilstrap LC 3rd

    更新日期:1993-02-01 00:00:00

  • Reproductive correlates of depressive symptoms among low-income minority women.

    abstract:OBJECTIVE:To estimate the prevalence of depressive symptoms among women of reproductive age attending family planning clinics across southeast Texas in addition to demographic and reproductive characteristics associated with these symptoms. METHODS:A retrospective, self-reported, paper-and-pencil survey designed to as...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.obstetgynecol.2003.08.012

    authors: Berenson AB,Breitkopf CR,Wu ZH

    更新日期:2003-12-01 00:00:00

  • Uterine arteriovenous fistula as a long-term complication of hysterectomy: presentation and management.

    abstract:BACKGROUND:A rare complication of hysterectomy is the formation of a high-flow fistula between the uterine artery and uterine vein. Historically, these lesions were treated surgically. CASE:Two women with histories including hysterectomy presented with symptoms and physical examination signs suggestive of uterine arte...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181834660

    authors: Sharma A,Vogelzang RL

    更新日期:2009-02-01 00:00:00

  • Primary invasive carcinoma of the vagina.

    abstract::A retrospective study of 29 patients with invasive carcinoma of the vagina was completed at The Milton S. Hershey Medical Center, Pennsylvania State University, for a ten-year period from 1976-1986. The overall incidence was 1.3% of all gynecologic malignancies. Twenty-four patients (83%) had squamous cell carcinoma a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Manetta A,Pinto JL,Larson JE,Stevens CW Jr,Pinto JS,Podczaski ES

    更新日期:1988-07-01 00:00:00

  • Genital herpes during pregnancy: inability to distinguish primary and recurrent infections clinically.

    abstract:OBJECTIVE:To determine if the signs and symptoms of genital herpes in pregnancy accurately identify primary genital herpes infections using serologic testing for final classification. METHODS:Twenty-three women with clinical signs and symptoms suggestive of primary genital herpes infections in the second and third tri...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00121-x

    authors: Hensleigh PA,Andrews WW,Brown Z,Greenspoon J,Yasukawa L,Prober CG

    更新日期:1997-06-01 00:00:00

  • A critical evaluation of transvaginal Doppler studies, transvaginal sonography, magnetic resonance imaging, and CA 125 in detecting ovarian cancer.

    abstract:OBJECTIVE:To evaluate whether transvaginal Doppler ultrasound is more valid than transvaginal sonography, magnetic resonance imaging (MRI), and CA 125 in differentiating malignant from benign ovarian tumors. METHODS:Sixty-three patients with ovarian tumors (36 benign and 27 malignant) were studied with transvaginal Do...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hata K,Hata T,Manabe A,Sugimura K,Kitao M

    更新日期:1992-12-01 00:00:00