Postmenopausal Gravid Trophocyte Diseases,64 cases of Clinical Analysis
Objective To investigate the postmenopausal gravid trophocyte diseases(GTD)clinical characteristic and diagnosis and treatment.Methods A retro-spective analysis of our hospital from 2002 to 2012 treated 64 cases of patients with postmenopausal gravid trophocyte diseases.Results The patients age 5 o-58 years old;Choriocarcinoma 30 cases,partial hydatidiform mole 34 cases;30 cases of the last pregnancy properties for abortion,34 cases of hydatidiform mole;At the end of the disease from pregnancy time 3-21 years;1-4 years duration ofmenopause;Chief complaint of postmenopausal vaginal bleeding;11 routine serum kind guide-HCG in-spection and found abnormal;All 64 patients received chemotherapy,total 17 underwent hysterectomy double adnexectomy.In 30 patients with choriocarcinoma,26 pa-tients after partial lost to follow -up,2 cases of complete remission after 19 months of follow-up disease-free survival.Conclusion The postmenopausal GTD,although rare,these cases remind us in patients with postmenopausal vaginal bleeding should still thinking may have gravid trophocyte diseases .Once diagnosed with GID,early chemotherapy,surgical removal of the uterus and the double appendix is necessary.
After menopauseGravid trophocyte diseasesDiagnosistreatment
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