扬州大学：《妇产科学》课程教学课件（PPT讲稿）38 妊娠滋养细胞疾病 Gestational Trophoblastic Disease 2/2

SHEMENS.01DiagnosisRSClinicalFeaturesUltrasonographyHuman Chorionic Gonadotrophin*CTX-rayPathology

1 Diagnosis ❖Clinical Features ❖Ultrasonography ❖Human Chorionic Gonadotrophin ❖CT ❖X-ray ❖Pathology

Differential diagnosisHydatidiform moleInvasive molePlacental site trophoblastic tumorsRudimental placenta

2 ❖ Hydatidiform mole ❖ Invasive mole ❖ Placental site trophoblastic tumors ❖ Rudimental placenta Differential diagnosis

MetastasesLungVaginaBrainLiver

3 Metastases ❖Lung ❖Vagina ❖Brain ❖Liver

BAD囍

4

anatomic stagingStage I disease confined to uterus*Stage III gestational trophoblastic tumor extendingoutside uterus but limited to genital structures(adnexa,vagina,broadligament)*Stage IIIgestational trophoblastic diseaseextending to lungs with or without known genitaltract involvementStage IV all other metastatic sites

5 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

ManagementChemotherapyXSurgery

6 Management ❖Chemotherapy ❖Surgery

Follow upXQM1 yXQ3M2 yXQY2yQ2Y

7 Follow up ❖QM X 1 y ❖Q3M X 2 y ❖QY X 2y ❖Q2Y

Thanks for Your Attention

8 Thanks for Your Attention