OBJECTIVES: To make a critical evaluation of the performance of Ultrasonographic Biophysical Profile (UBP) as a method for antepartum fetal evaluation; to define their main outcome measures as well as their interpretation, and propose a fetal well-being assessment algorithm which considers the score obtained. MATERIAL AND METHODS: Observational, prospective blind study. Since october, 1997 to september, 1998, 120 women with a gestational age ³28 weeks who required fetal well-being assessment to decide pregnancy interruption, at the High-Risk-Obstetrics Department, Hospital Guillermo Almenara, Lima. We evaluate the difficulties and benefits obtained with the ultrasonographic assessment of baseline fetal heart rate and heart reactivity; and the value of ultrasonographic qualitative assessment of amniotic fluid volume, placentary senescence and early placentary aging; and the value of esta...

We present the clinical case of a patient with a diagnosis of primary non-gestational ovarian choriocarcinoma corresponding to a germline malignant neoplasm. Likewise, the updated literature on the subject is reviewed, emphasizing molecular biology, diagnosis, and initial cancer management. It was developed at the Dos de Mayo National Hospital (HNDM) in the Oncology Gynecology Service, Lima, Peru. The present case is recorded due to its limited casuistry in our setting and due to the important value of oncological criteria in the management of adnexal ovarian masses.

We present the clinical case of a patient with a diagnosis of primary non-gestational ovarian choriocarcinoma corresponding to a germline malignant neoplasm. Likewise, the updated literature on the subject is reviewed, emphasizing molecular biology, diagnosis, and initial cancer management. It was developed at the Dos de Mayo National Hospital (HNDM) in the Oncology Gynecology Service, Lima, Peru. The present case is recorded due to its limited casuistry in our setting and due to the important value of oncological criteria in the management of adnexal ovarian masses.