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MOLA INVASIF
DEFINISI
•Adalah tumor atau suatu proses seperti
tumor yang menginvasi miometrium
dengan hiperplasia trofoblas disertai
struktur vili yang menetap
INSIDENSI
• Insidensi invasive mola adalah 1 : 15.000
kehamilan
• jenis invasive mola 12,5% berasal dari mola
komplit dan 1,5% berasal dari mola pertial.
• Ruptur uteri pada invasive mola sangat jarang
terjadi
•Perdarahan pervaginam yang menetap
•Titer βhcg yang tetap atau meninggi setelah
terminasi kehamilan, mola atau abortus.
•Gambar villius pada sediaan histopatologik
maka diagnosa pasti PTG
FIGO STAGING
Stage I Confined to the Uterus
Stage II Extends outside the uterus but confined
to the genital organs
Stage III Pulmonary mets
Stage IV Metastases to other sites
TATALAKSANA
• Kemoterapi
• I – III (low risk):
• Agent tunggal setiap 7 – 10 hari
• Hentikan jika terjadi intoksikasi dan resistensi terhadap agen kemoterap
• II – III (high risk)
• Agen kombinasi setiap 14 hari
• EMACO
(Etoposide, Metothrexate, Actinom ycin, Oncovin), MEA
•IV :
• Terapi awal menggunakan kombinasi setiap
14 hari
• Jika terjadi metastase ke otak :
• Intratechal MTX 12,5 mg
• Steroid atau manitol
Terima kasih

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Mola_invasive.pptx

  • 2. DEFINISI •Adalah tumor atau suatu proses seperti tumor yang menginvasi miometrium dengan hiperplasia trofoblas disertai struktur vili yang menetap
  • 3. INSIDENSI • Insidensi invasive mola adalah 1 : 15.000 kehamilan • jenis invasive mola 12,5% berasal dari mola komplit dan 1,5% berasal dari mola pertial. • Ruptur uteri pada invasive mola sangat jarang terjadi
  • 4.
  • 5. •Perdarahan pervaginam yang menetap •Titer βhcg yang tetap atau meninggi setelah terminasi kehamilan, mola atau abortus. •Gambar villius pada sediaan histopatologik maka diagnosa pasti PTG
  • 6. FIGO STAGING Stage I Confined to the Uterus Stage II Extends outside the uterus but confined to the genital organs Stage III Pulmonary mets Stage IV Metastases to other sites
  • 7.
  • 8. TATALAKSANA • Kemoterapi • I – III (low risk): • Agent tunggal setiap 7 – 10 hari • Hentikan jika terjadi intoksikasi dan resistensi terhadap agen kemoterap • II – III (high risk) • Agen kombinasi setiap 14 hari • EMACO (Etoposide, Metothrexate, Actinom ycin, Oncovin), MEA
  • 9. •IV : • Terapi awal menggunakan kombinasi setiap 14 hari • Jika terjadi metastase ke otak : • Intratechal MTX 12,5 mg • Steroid atau manitol