1 / 16

Understanding Gestational Trophoblastic Disease (GTD): Classification, Symptoms, and Treatment Options

Gestational Trophoblastic Disease (GTD) encompasses a variety of trophoblastic abnormalities linked to pregnancy, primarily hydatiform moles. These conditions present as clusters of vesicles that can lead to serious complications such as hemorrhage and uterine perforation. Patients are divided into two groups: Group A, where the mole is being expelled, and Group B, where the uterus remains inert. Treatment includes supportive therapy, evacuation, and in some cases, chemotherapy. Appropriate protocols are essential for effective management and monitoring.

loring
Télécharger la présentation

Understanding Gestational Trophoblastic Disease (GTD): Classification, Symptoms, and Treatment Options

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Dr. Madhavi Karki

  2. DEFINITION : GTD refers to the spectrum of proliferative abnormalities of the trophoblast associated with pregnancy. CLASSIFICATION

  3. Hydatiform Mole (Syn : Vesicular Mole)

  4. ETILOGY

  5. Pathology

  6. Fig : H. Mole showing clusters of vesicles of varying sizes

  7. Symptoms :

  8. SIGNS :

  9. INVESTIGATIONS

  10. Fig: H. Mole

  11. Complications

  12. To give adequate supportive therapy to restore blood loss • To evacuate the uterus as soon as the diagnosis is made • Risk of hemorrhage • Perforation of the uterine wall by the mole • To take appropriate steps to minimize infection. The patients are divided into two groups: Group A: mole is in the process of expulsion Group B: The uterus is still inert

  13. Supportive therapy: Group A • Morphine 15mg IM is given • 5% dextrose drip started • Arrangement is made for blood transfusion Group B • Blood should be kept prior to elective termination • Definitive Therapy : Group A and Group B: Suction and evacuation

  14. Indications of Chemotherapy :

  15. Follow – up Protocols :

More Related