Qurban Ali Bugti, Naseema Baloch, Mohammad Aslam Baloch.
Gestational trophoblastic disease in Quetta.
Pak J Med Res Jan ;44(2):92-6.

Objective: To find out the prevalence of gestational trophoblastic disease (GTD) in Quetta. Methodology: The study was conducted in Radiology department of Bolan Medical Complex Hospital Quetta. From May 2000 to August 2004 about 15023 pregnant women were examined by trans-abdominal ultrasound with real time scanner. Of the total 61 cases were diagnosed as GTD. A limited number of cases were referred to histopathology for confirmation. Results: The incidence of GTD was calculated as 4.06/1000 pregnancies. Out of 61 diagnosed cases of GTD, hydatidiform mole was seen in 52 cases, (85.2%). The maternal age ranged from 17 to 47 years. Of the presenting symptoms 19 patients (31.1%) had excessive uterine bleeding, 11 (18%) had features of hyperemesis gravidarum while 25 patients (40.5%) had no complaints and underwent an ultrasound for confirmation of their pregnancy. Uterus was enlarged for dates in 33 patients. Thirtyfour patients (55.7%) belonged to the poor socioeconomic group and 28 were severely anemic. Conclusions: The prevalence of gestational trophoblastic disease in Quetta is around 4/1000 pregnancies.

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