The hydatidiform mole evolves the choriocarcinoma carefully
Along with the medicine advance in technology, the hydatidiform mole was already rare woman disease. The hydatidiform mole belongs to the pregnancy down tumor initial period disease, some 20% patient will evolve the choriocarcinoma, because if the detention diagnosis will be extremely possible to bleed, the womb to infect massively causes the septicaemia, will have the death risk.
?The hydatidiform mole (water saccate mole) the true cause of disease was not still explicit, only knew that is the chorionic villus is unusual, including each kind of degree’s trophoderm increment and down matrix dropsy, the chorionic villus transforms into a group limpid blister, usually gathers the agglomerate, is hanging down by a thin stem on, and the blister size from only may measure with the eye to the diameter several centimeters.
?The medical research statistics, the hydatidiform mole disease incidence rate in the approximately 1000 pregnant women has one, and 45 year-old above woman is taken bad the opportunity is young woman’s ten times, its common symptom including exceptionally bleeds, the womb swelling (three month gestation periods to look like five months big), not to have the fetal movement, the serious evil happy phenomenon (disgusting, vomit), the thyroid gland toxemia and the pregnancy toxemia.
?The hydatidiform mole majority is the benign pathological change, so long as then eliminates in the womb using the vacuum attraction and the uterus contraction medicinal preparation the foreign matter, but the complete pathological change, approximately some 20% cases turn choriocarcinoma’s malignant tumor, even shifts to the liver, the kidney, the lung, the brain, the vagina and so on other organs.
?Although grape congenital illness turns the malignant tumor or shifts other organs, so long as the chemotherapy success cure, must by no means certainly carry on the womb excision method, only if is the down hormone is excessively high, stimulates the ovary exceptionally swelling, produces the external coat periplast yellow body cyst, causes the ovary serious reverse, the blood vessel to block, or already year 40 years old, and determined that no longer has the birth to plan, only then considered that excises the womb directly, but in regular tracing blood down hormone still great importance.
?In the blood the chorion hormone (hCG) is the hydatidiform mole tumor symbolized, after the patient eliminates the hydatidiform mole, every two weeks draw blood the tracing down hormone whether do drop gradually to the normal value, and no longer rise, then change inspect every month one time, trace a half year later continually, may lengthen are two months one time until one year expiration, but this period patient must the oral contraceptive to carry on the contraception, one year later only then may be pregnant again, after its hydatidiform mole, gives birth again the baby nearly is normal; As for once had had a hydatidiform mole pregnancy, will be pregnant the hydatidiform mole probability will be again in the future 1% to 2%.
?In addition, the chorion carcinogenesis besides has 50% to come from the hydatidiform mole pathological change, comes from the miscarriage, the being pregnant factor, holds 25% proportions separately. Liu Ming says the emphasis, pregnant woman’s post-natal lochia approximately from one to two weeks then clear clean, if the incessancy bleeds, besides possibly is the uterus contraction bad, but is also possibly placenta residual in which, the pathological change becomes the down cancer, must treat as soon as possible eliminates, because otherwise the detention treatment opportunity, massively will possibly bleed, the womb to infect causes the septicaemia, will have the death risk.
