Gestational Trophoblastic Disorders: An Update in 2015

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Gestational Trophoblastic Disorders: An Update

Gestational trophoblastic diseases (GTD) are a group of pregnancy-related disorders representing rare human tumours. They encompass premalignant disorders including complete (CHM), partial hydatidiform mole (PHM), exaggerated placental site (EPS), and placental-site nodule (PSN) as well as malignant disorders (also known as “gestational trophoblastic neoplasia [GTN]”) including invasive mole, c...

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Evaluation of maternal thyroid autoimmune status in gestational trophoblastic disorders

Hyperthyroidism or increased thyroid function has been reported in many patients with trophoblastic tumors, either hydatidiform mole or choriocarcinoma (1). In the US, hydatidiform mole occurs between 0.5 and 2.5 per 1000 pregnancies (2). It is more common in Asian and Latin American countries (3). Hydatidiform moles secrete large amounts of human chorionic gonadotropin (hCG), and the hCG level...

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Update on the diagnosis and management of gestational trophoblastic disease.

a Department of Obstetrics and Gynecology, University of Hong Kong, Queen Mary Hospital, Hong Kong, China b Departments of Histopathology and Medical Oncology, Charing Cross Trophoblastic Disease Center, Charing Cross campus of Imperial College London, London, UK c Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Brigham and Women's Hospital, Dana-Farber Cancer Institu...

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Gestational trophoblastic neoplasia.

Trophoblastic neoplasms are a truly fascinating set of diseases that arise from a failed gestation. A molar pregnancy is an allograft of fetal tissue typically containing only paternal chromosomes that may invade the maternal decidua following a failed gestation that may have arisen up to decades earlier. Choriocarcinoma (CCA), the most common malignant form of trophoblastic disease, represente...

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Gestational Trophoblastic Disease

In partial molar pregnancies, the trophoblast cells have three sets of chromosomes (triploid). Two sperm are believed to fertilise the ovum at the same time, leading to one set of maternal and two sets of paternal chromosomes. Around 10% of partial moles are tetraploid or mosaic in nature. There is usually evidence of fetal tissue or fetal blood cells in a partial molar pregnancy. An embryo may...

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ژورنال

عنوان ژورنال: Geburtshilfe und Frauenheilkunde

سال: 2015

ISSN: 0016-5751,1438-8804

DOI: 10.1055/s-0035-1558054