Monitoring of beta-hCG is useful in management of:: (A) H. mole, (B) Choriocarcinoma, (C) Ectopic pregnancy after laproscopic resection, (D) Endodermal sinus tumor
Answer is A. Follow up with beta -hcg is the impoant step in the management of gestational trophoblastic disease.Follow up is by weekly serum beta hcg for the first 6 weeks,and then fornightly until 6 months.Thereafter,urine pregnancy test can be employed fornightly until one year,monthly for the next year,2 monthly for 6 months,3 monthly for 4 months,4 monthly for 3 months and then 6 monthly for life. Refer page no 175 of Text book of obstetrics,sheila balakrishnan 2 nd edition.