Mamouni Nisrine, Boumhaoued Siham, Erraghay Sanae, Boubou Meriem, Bouchikhi Chahrazed, Banani Abdelaziz
Service de Gynécologie Obstétrique I, Hôpital Mère Enfant, CHU Hassan II, Fès, Université sidi Mohamed ben Abdellah, Maroc.
Service de Radiologie, Hôpital Mère Enfant, Hôpital Mère Enfant, CHU Hassan II, Fès, Université sidi Mohamed ben Abdellah, Maroc.
Pan Afr Med J. 2017 Nov 14;28:228. doi: 10.11604/pamj.2017.28.228.13267. eCollection 2017.
Gestational trophoblastic disease incorporates a group of diseases which differ from each other by their regressive evolution, their evolution to metastasis and to recurrence. It is a severe disease that affects women of childbearing age. Gestational trophoblastic tumors (GTT) are the malignant forms of gestational trophoblastic diseases. They are always a result of pregnancy, more often molar pregnancy (hydatidiform mole). The most common type of gestational trophoblastic tumors (GTT) is the invasive mole because, in most cases, the diagnosis is made when cancer is still confined to the uterus. Choriocarcinoma is a more rare type of tumor, often developing distant metastases. When there is a progression to a trophoblastic tumor, the assessment of locoregional extension and distant metastases is essential to establish an appropriate treatment protocol. We here report three clinical cases of GTT by describing their clinical presentations and the use of imaging techniques in the diagnosis and management of these disorders.
妊娠滋养细胞疾病包括一组疾病,它们在退行性演变、转移和复发演变方面彼此不同。它是一种影响育龄妇女的严重疾病。妊娠滋养细胞肿瘤(GTT)是妊娠滋养细胞疾病的恶性形式。它们总是妊娠的结果,更常见的是葡萄胎妊娠(水泡状胎块)。最常见的妊娠滋养细胞肿瘤(GTT)类型是侵蚀性葡萄胎,因为在大多数情况下,癌症仍局限于子宫时即可作出诊断。绒毛膜癌是一种较罕见的肿瘤类型,常发生远处转移。当进展为滋养细胞肿瘤时,评估局部区域扩展和远处转移对于制定适当的治疗方案至关重要。我们在此报告三例GTT临床病例,描述其临床表现以及影像技术在这些疾病诊断和管理中的应用。