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SELECTIVE HYPOGASTRIC ARTERIOGRAPHY IN UTERINE CHORIOCARCINOMA

PETER M. SHIMKIN M.D., DAVID H. VAN THIEL M.D., and GRIFF T. ROSS M.D., PH.D.1

1 Head, Endocrinology Service, Endocrinology Branch, National Cancer Institute.

Pelvic arteriography as performed by lumbar aortography often provides flagrant demonstration of trophoblastic malignancy. However, in some cases the angiographic findings may be subtle and the extent of disease, especially extrauterine, may be poorly defined.

Detection of residual pelvic disease in "chemotherapy resistant" cases has proven particularly difficult.

Three cases are presented illustrating the value of selective hypogastric arteriography in better detection and localization of pelvic trophoblastic malignancy.


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