PMC2729468_01
CT-scan of the abdomen, performed for GTN staging after two cycles of interval systemic methotrexate for hydatidiform mole. White arrows indicate the presence of three fibroids, resulting in important distortion of the uterine cavity. At this stage, no residual molar tissue was observed radiologically.
CRM2009-454161.001.jpg
PMC2729468_01_CRM2009-454161.001.jpg
fig1
GTN (Figure 2). GTN staging included a CT-scan of the thorax and of the abdomen (Figures 1(a)  and 1(b)), and did not demonstrate any extrauterine metastases.
Graphical overview of hCG-levels showing initial satisfactory response (A) to two cycles of methotrexate interval, followed by a plateau-phase (B), indicating transition into a gestational trophoblastic tumour. Six cycles of EMA/CO chemotherapy were given subsequently (C).
CRM2009-454161.002.jpg
PMC2729468_01_CRM2009-454161.002.jpg
fig2
GTN (Figure 2). GTN staging included a CT-scan of the thorax and of the abdomen (Figures 1(a)  and 1(b)), and did not demonstrate any extrauterine metastases.