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妊娠滋养细胞疾病管理的结局:单中心回顾。

Outcomes of Gestational Trophoblastic Disease Management: A Single Centre Review.

机构信息

Faculty of Medicine, University of Maribor, 2000 Maribor, Slovenia.

Division of Gynaecology and Perinatology, University Medical Centre Maribor, 2000 Maribor, Slovenia.

出版信息

Medicina (Kaunas). 2023 Sep 8;59(9):1632. doi: 10.3390/medicina59091632.

Abstract

: Gestational trophoblastic disease (GTD) is a group of pregnancy-related malignant and premalignant diseases. The aim of this study was to assess the prognostic value of clinical characteristics to predict treatment outcomes in women with GTD. : In this retrospective study, 34 patients treated for GTD at the Division of Gynaecology and Perinatology, University Medical Centre Maribor, between 2008 and 2022 were identified. Clinical and pathological characteristics were obtained by analysing patient data records. : Within the cohort of 34 patients with GTD, 29 patients (85.3%) had a partial hydatidiform mole (HM) and five patients545 (14.7%) had a complete HM. Two patients with a complete HM developed a postmolar gestational trophoblastic neoplasia (GTN), which represents 5.8% of all cases. : GTD is a rare disease that is frequently asymptomatic. The subsequent consequences of GTD, which can lead to malignant transformation, as well life-threatening disease complications, warrant training for early recognition of HMs and timely treatment and surveillance.

摘要

: 妊娠滋养细胞疾病(GTD)是一组与妊娠相关的恶性和癌前病变。本研究旨在评估临床特征对预测 GTD 患者治疗结果的预后价值。: 在这项回顾性研究中,确定了 2008 年至 2022 年期间在马里博尔大学医学中心妇产科接受 GTD 治疗的 34 名患者。通过分析患者数据记录获得了临床和病理特征。: 在 34 名 GTD 患者中,29 名患者(85.3%)为部分葡萄胎(HM),5 名患者(14.7%)为完全 HM。两名完全 HM 的患者发生了绒毛膜癌(GTN),占所有病例的 5.8%。: GTD 是一种罕见的疾病,通常无症状。GTD 的后续后果可能导致恶性转化以及危及生命的疾病并发症,因此需要对 HMs 进行早期识别以及及时治疗和监测进行培训。

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