妊娠滋养细胞疾病讲解专家讲座.pptx

gestationaltrophoblasticdisease(GTD)

妊娠滋养细胞疾病.7.22妊娠滋养细胞疾病讲解第1页

Introductiongestationaltrophoblasticdisease(GTD)areagroupofdiseasesfromtheplacentanourishcellsofthedisease,itincludeshydatidiformmole,invasivehydatidiformmole,velvetcarcinomaandrareplacentapartsnourishcelltumors.妊娠滋养细胞疾病(gestationaltrophoblasticdisease，GTD)是一组起源于胎盘滋养细胞疾病，它包含葡萄胎、侵袭性葡萄胎、绒癌及罕见胎盘部位滋养细胞肿瘤InadditiontohydatidiformmoleGTDoutsidethecallofpregnancynourishcelltumors(gestationaltrophoblasticneoplasia,GTN)除葡萄胎以外GTD称之妊娠滋养细胞肿瘤妊娠滋养细胞疾病讲解第2页

yearstoimagingdiagnosisGTDmainlydependsonthetypeultrasoundandcolordopplerultrasound.多年来影像学诊疗GTD主要依赖B型超声及彩色多普勒超声Magneticresonanceimaging(magneticresonanceimaging,magneticresonanceimaging)reportedless磁共振成像(magneticresonanceimaging，MRI)相关报道较少妊娠滋养细胞疾病讲解第3页

Clinicalmanifestations

hydatidiformmoleisbenignlesions,accordingtotheorganizationforthefetusorpregnancyembryoniccomposition,willhydatidiformmoledividedintothecompletenessandsomesexhydatidiformmole.葡萄胎属良性病变，依据妊娠组织中有没有胎儿或胚胎成份，将葡萄胎分为完全性与部分性葡萄胎Donotunderstandabouttheetiology,morethan40yearsoldorlessthan20yearsold,incidence病因不甚明了，大于40岁或小于20岁，发病率增高Themainandyunkundefect,andemptytheeggsarefertilized,doublespermtofertiliserelevant主要与孕卵缺损，空卵受精、双精子受精相关Presentedwithpostmenopausalbleedingasthemainsymptomsofpregnancyoftenearly,heavy,reactionlong临床上以停经后阴道出血为主要症状，妊娠反应往往早、重、长妊娠滋养细胞疾病讲解第4页

Clinicalmanifestations

Abnormaluterinebodycheck,individualscanincreaseaabdominalpainandpregnancy-inducedhypertensionmerger.体查子宫异常增大，个他人可有腹痛及合并妊高症Flavincystincompletenesshydatidiformmoleincidenceof30-50%黄素囊肿在完全性葡萄胎发生率为30—50%TheultrasonicinspectionforthemainmethodandincombinationwithB-HCGabnormalincreases,therushhourextendedandsymptoms,signsmaydiagnosedisease超声为主要