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GESTATIONAL
TROPHOBLASTIC DISEASE
2
3
4
GTT
BENIGN
COMPLETE INCOMPLETE INVASIVE PSTT
MALIGNANT
Nbeame
Job Title
Name
Job Title
Name
5
ETT
CHORIO
CARCINOMA
6
PATHOPHYSIOLOGY
7
 Trophoblastic proliferation
 Cystic swelling of chorionic villi( HYDROPIC DEGENERATION)
MARKED PROLIFERATION OF TROPHOBLAST
ACCUMULATION OF FLUID & MATERNAL BLOOD IN THE STOMA
DISTENTION OF VILLI
SMALL VESICLES
ABSENCE OF BLOOD VESSEL IN THE VILLI
ABSORPTION AND EARLY DEATH OF EMBRYO
8
9
10
11
12
13
14
15
Add an Agenda Page
● Write an agenda here.
● Write an agenda here.
● Write an agenda here.
16
17
18
19
20
Add a Section
Header
And a subtitle
22
23
24
Write Your Topic or Idea
Add a main point
Elaborate on what you want to discuss.
Add a main point
Elaborate on what you want to discuss.
25
Write Your Topic or Idea
Add a main
point
Elaborate on what you want
to discuss.
Add a main
point
Elaborate on what you want
to discuss.
Add a main
point
Elaborate on what you want
to discuss.
26
27
28
29
30
31
.
INVASIVE MOLE
CHORIOCARCINOMA
37
38
39
40
41
42
METHOTREXATE(1-1.5MG/KG)—1ST LINE
IM/IV
DAY 1,3,5 &7
FOLIC ACID(.1-.15MG/KG)-----DAY 2,4,6,8
ACTINOMYCIN( 10-12MCG/KG)
FOLLOW UP
LOW RISK GTN
43
MULTI AGENT CT
E-ECTOPOSIDE
A-ACTINOMYCIN D
M-METHOTREXATE
C-CYCLOPHOSPHAMIDE
O-ONCOVIN/VINCRYSTIN
HIGH RISK GTN
44
MULTI AGENT CT
E-ECTOPOSIDE
A-ACTINOMYCIN D
M-METHOTREXATE
C-CYCLOPHOSPHAMIDE
O-ONCOVIN/VINCRYSTIN
HIGH RISK GTN
45
MANAGEMENT
46
1ST CHEMOTHERAPY
ASSESS FOR OTHER
RESIDUAL DISEASE
LUNGS
MULTIPLE ORGAN
ONE ORGAN
UTERUS BRAIN
CT
BETA HCG ASSAY EVERY 2WK
NORMAL
2-3 CYCLE
MONITOR HCG
BETA HCG ASSAY EVERY MONTH FOR 24HRS
FOLLOW UP
47
PTT
48
EXTREMELY RARE
MIMICS PTT
ETT
49
ROLE OF
HYSTRECOMY
FUTURE CHILD
BEARING
NURSING
MANAGEMENT
Name
Title or Position
Name
Title or Position
Name
Title or Position
Name
Title or Position
Add a Team Members Page
Elaborate on what you want to discuss.
54

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Gestational trophoblastic diseases -OBG Nursing Rakhimol M R