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
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8 Thanks for Your Attention