Limitations of the human Chorionic Gonadotropin (hCG) assay in the diagnosis of gestational trophoblastic disease

• Main Authors: Rusman, Zety Wizana, Thambiah, Subashini C., Samsudin, Intan Nureslyna, Anas, Siti Sharina, Sthaneshwar, Pavai
• Format: Article
• Language: English
• Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2022
• Online Access: http://psasir.upm.edu.my/id/eprint/99322/1/2022121912535821_MJMHS_0791.pdf; http://psasir.upm.edu.my/id/eprint/99322/; https://medic.upm.edu.my/upload/dokumen/2022121912535821_MJMHS_0791.pdf

A 31-year-old lady presented with abnormal vaginal bleeding during her first trimester of pregnancy. Based on the ultrasound findings and the decreasing hCG trend (from 1040 mIU/mL to 759 mIU/mL), a diagnosis of missed miscarriage was made. A week later, the patient presented with heavy vaginal blee...