The role of methotrexate followed in the conservative management of morbidly adherent placenta is not clear and is not routinely recommended for every patient.6 During follow-up, serum BHCG
should be done on a weekly basis to ensure its falling level.
On the other hand, in cases of digynic triploidy, the biochemistry demonstrates markedly decreased free BHCG
and PAPP-A MoMs (2,8).
One hundred sixty-one patients whose Day one, four and seven results were recorded in the hospital information system and who were followed up until their BhCG
levels decreased <10 IU/L were enrolled in the study.
There was no significant difference in serum progesterone level of women with positive BHCG
in comparison with non-pregnant women according to embryo transfer day.
The ceremony itself was hosted by the founding president of BHCG
and chief concierge of the Four Seasons, Khalil Al Yaman, and was attended by Les Clefs d'Or's zone director of Arabia & Western Asia, Abbey Sam.
The interview process for the new Les Clefs d'Or members from the BHCG
was conducted by: Abey Sam, UICH zone director Arabian & Western Asia and president of Les Clefs d'Or UAE; first vice president Kamal Jalayath; third vice president Oussama Itani; general secretary of the organisation, Mahesh Brid; and public relations officer Cleatus George.
Abbreviations GCT: Germ cell tumour STM: Somatic type malignancy PNET: Primitive neuroectodermal tumours FISH: Fluorescence in situ hybridization CT: Computerized tomography bHCG
: Beta human chorionic gonadotropin AFP: Alpha fetoprotein LDH: Lactate dehydrogenase MPNST: Malignant peripheral nerve sheath tumour.
The diagnostic criteria proposed include  no previous gynecologic malignancy, solitary or predominant lung lesion with the exclusion of a gonadal primary site, elevated bhCG
titers that normalize after surgery or chemotherapy, and pathologic confirmation of the disease
Hematological evaluation showed, white cell count 5400/[mm.sup.3], hemoglobin 11 g/dl, hematocrit 33% and BHCG
was 5700 lU/l.
Heat-induced antigen retrieval in citrate buffer was used for bhCG
(2) Postoperative angiographic embolization of feeder vessels is possible and placental involution can be followed by serial bHCG
.Some authors advocate preoperative systemic methotrexate in the management of abdominal pregnancy.
(21) However, because of the different clinical presentation of the pediatric immature teratomas, the patient should be followed periodically with diagnostic imaging, and evaluation of serum tumor markers, including alpha fetoprotein, and BHCG