扬州大学：《妇产科学》课程教学课件（PPT讲稿）42 不孕症 infertility 3/3

Differential DiagnosisHydatidiformmoleInvasivemole Placental sitetrophoblastictumorsRudimentalplacentaGTD

GTD 1 • Hydatidiform mole • Invasive mole • Placental site trophoblastic tumors • Rudimental placenta Differential Diagnosis

MetastasisLung20mldelay7kVaginaBrainLiver

GTD 2 • Lung • Vagina • Brain • Liver Metastasis

Metastasis （Lung)

GTD 3 Metastasis（Lung）

Anatomic StagingStageIdisease confined to uterusStage IIgestationaltrophoblastictumorextending outside uterus butlimited to genital structures(adnexa,vagina,broadligament)Stage III gestational trophoblasticdisease extending to lungs withor without known genital tractinvolvementStage Iv all other metastatic sitesGTD

GTD 4 Anatomic Staging Stage I disease confined to uterus Stage II gestational trophoblastic tumor extending outside uterus but limited to genital structures (adnexa, vagina, broad ligament) Stage III gestational trophoblastic disease extending to lungs with or without known genital tract involvement Stage IV all other metastatic sites

ManagementChemotherapySurgeryGID

GTD 5 • Chemotherapy • Surgery Management

Follow upQMX1yQ3MX2 yQYX2yQ2YGTDO

GTD 6 • QM×1 y • Q3M×2 y • QY×2y • Q2Y Follow up

Thanks for Your Attention

Thanks for Your Attention