Corrosive hydatidiform mole
Outline:
The blister type organization invades the myometrium or shifts to the neighbor and the distant place palace calls the corrosive hydatidiform mole. Many in the hydatidiform mole eliminates in the latter 6 months to occur, may wear out the myometrium or the shift to organs and so on lung, vagina, vulva, creates the partial failure hemorrhage. The corrosive hydatidiform mole, has the malignant tumor characteristic, but the treatment result and the prognosis compare the fabric cancer to well, the treatment is mainly the chemotherapy or adds the surgery to treat.
Clinical manifestation:
1. the hydatidiform mole discharges 3-4 weeks later vagina anomalous hemorrhage.
2. the woman examines discovered that the vagina shifts the tubercle, the womb to increase, nearby the palace the tumour, the ovary flavine cyst to exist continually.
3. the womb wears out by the lump organization, the internal hemorrhage drafts.
4. the hemoptysis, the cough, the sternum shift the tubercle obviously, the headache, the stupor, hemiparalysis, twitch.
Diagnosis basis:
1. in the hydatidiform mole clear palace latter part has the anomalous colporrhagia, the hemoptysis, the cough, the headache, the vomit, hemiparalysis and so on.
2. vaginal wall obviously purple blue color shift tubercle.
3. the womb increases, nearby the palace the tumour, the ovary flavine cyst.
4. hematuria hcG level is high by the low extension, or once the negative transferred the masculine gender.
5. chest X absorbs the piece obviously many cotton and kapok group type shadow.
6. head fault or CT discovery perch pathological change.
7. the primary source or shift source sickness examines the obvious trophoblast cell proliferation to be active, organization large quantities of necrosis hemorrhage, but may see the down structure.
8. clinical by stages:?The time cause of disease limits to the womb,?Time cause of disease vicinity shift, like nearby palace, appendix and vagina,?The time lung shifts,?The time whole body shifts.
Principle of reatment:
1. chemotherapy
2. surgery treatment
3. just right for the illness treatment
Medication principle:
1. the ordinary circumstances may, the chemotherapy respond that heavy does not use “A”.
2. the ordinary circumstances are bad, the chemotherapy responded that heavy uses “A”, “B”.
3. has the brain to shift, manifests suddenly the cause of disease to choose “A” repeatedly, “B”, “C”.
Auxiliary inspection:
1. has nearby the palace, the vagina and the lung shift chooses “A”;
2. doubts has the brain, the whole body shift to choose “A”, “B”.
Curative effect appraisal:
1. cure: The clinical symptomless, the shift source vanishes completely, blood hcG-B is normal, urinates the concentration experiment negative. Revisit with hydatidiform mole, 2 years later every year reexamines one time, 5 years do not have the recrudescence are the cures.
2. change for the better: Symptom vanishing, the shift source obvious reduction, urinates the concentration pregnancy test negative either the weak masculine gender, the blood or urinates hcG close normal.
3. has not recovered: The symptom before either the aggravation, the shift source reduction or increases, urinates the concentration pregnancy test masculine gender, blood hcG is higher than normally.
Expert prompt:
Malignant hydatidiform mole after treatment, generally prognosis is favorable, but later still had recurs and develops the fabric cancer’s possibility, therefore should advise the contraception, the revisit at least 2 years.
