[On the follow up period of postmolar XXXX (author's transl)].

@entity1 @entity1469 @entity1466
We discussed how long should postmole @entity1 be followed up by the analysis of 44 cases of postmolar invasive mole and 14 cases of @entity1466 treated in our hospital between 1971 and 1979. All of the invasive mole have been detected before their urinary hCG titer fell below normal pituitary LH level and by the 5 th month after the termination of molar pregnancy. While only 2 cases out of 14 cases of @entity1466 have been detected before their urinary hCG titer fell below LH level and by the 5 th postmole month. The other 12 cases of @entity1466 were diagnosed later than the 6 th postmole month. The longest interval between termination of mole and diagnosis of @entity1466 was 7 years and 2 months, the interval of which was also the longest among all of the @entity1466 registered to the Committee of Registration for @entity1469 in Japan Society of Obstetrics and Gynecology in 1974 through 1978. Therefore from the empirical point of view, the postmole @entity1 should be followed up to 7 years and 2 months at the shortest. Besides almost all of the secondary sequelae after mole which were detected before urinary hCG titer fell below LH level were actually invasive mole (44 cases). @entity1466 (2 cases) in this stage was exceptional (2 cases/46 cases = 4.4%). On the other hand, once the molar @entity1 showed normal LH level in their urinary hCG determination, the secondary sequela was invariably @entity1466 . This way of discriminating invasive mole from @entity1466 is the key in the management of postmolar @entity1 .
