TY - JOUR
T1 - Cesarean Scar Pregnancy
T2 - A Case Series of Diagnosis, Treatment, and Results
AU - Younes, Grace
AU - Goldberg, Yael
AU - Lavie, Ofer
AU - Kedar, Reuven
AU - Segev, Yakir
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - The aim was to collect cases of cesarean scar pregnancy (CSP) and describe the evolution of diagnosis, treatment modalities, and outcome. A retrospective cohort study was conducted of patients who had been diagnosed with CSP. Treatment decision was made according to the type of CSP, levels of beta human chorionic gonadotropin (hCG), and estimated vascularity. Forty cases with CSP were recorded. Overall success of the primary treatment was recorded among 30 of 40 cases (75%) and significantly correlated with degree of vascularity, type of CSP, and beta hCG levels. The treatment methods included serial methotrexate in 20 cases; 15 of them (75%) were successful. In this specific group, we found type 2 scar and high vascularity to be significantly associated with treatment failure. In conclusion, cases with type 2 CSP, high vascularity, and high beta hCG levels should be considered high risk, and extra caution should be taken in choosing treatment modality and follow-up.
AB - The aim was to collect cases of cesarean scar pregnancy (CSP) and describe the evolution of diagnosis, treatment modalities, and outcome. A retrospective cohort study was conducted of patients who had been diagnosed with CSP. Treatment decision was made according to the type of CSP, levels of beta human chorionic gonadotropin (hCG), and estimated vascularity. Forty cases with CSP were recorded. Overall success of the primary treatment was recorded among 30 of 40 cases (75%) and significantly correlated with degree of vascularity, type of CSP, and beta hCG levels. The treatment methods included serial methotrexate in 20 cases; 15 of them (75%) were successful. In this specific group, we found type 2 scar and high vascularity to be significantly associated with treatment failure. In conclusion, cases with type 2 CSP, high vascularity, and high beta hCG levels should be considered high risk, and extra caution should be taken in choosing treatment modality and follow-up.
KW - beta hCG
KW - cesarean
KW - ultrasound
KW - uterine scar
UR - http://www.scopus.com/inward/record.url?scp=85052286945&partnerID=8YFLogxK
U2 - 10.1177/8756479318791155
DO - 10.1177/8756479318791155
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AN - SCOPUS:85052286945
SN - 8756-4793
VL - 34
SP - 502
EP - 508
JO - Journal of Diagnostic Medical Sonography
JF - Journal of Diagnostic Medical Sonography
IS - 6
ER -