Gestasyonel Trofoblastik Hastalıklar - www.jinekolojivegebelik.com

Gestasyonel Trofoblastik Hastalıklara Güncel Yaklaşım

[object Object],[object Object],[object Object],[object Object]

Risk Faktörleri ,[object Object],[object Object],[object Object],[object Object]

Gestasyonel Trofoblastik Hastalıklar (GTH)’da Modern Sınıflama ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NIH Sınıflaması ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Trofoblastik Hücre Markırları ,[object Object],[object Object],[object Object],[object Object]

Komplet Mol Hidatiform ,[object Object],[object Object],[object Object],[object Object],[object Object]

Komplet Molde Genetik Orjin ,[object Object],[object Object],[object Object],[object Object],[object Object]

Parsiyel Mol Hidatiform ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Plasental Mezenkimal Displazi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Komplet ve Parsiyel Molün Özellikleri Missed Abortus Gestasyonel yaştan küçük Nadir Nadir %<5 Molar gebelik %50 gestasyonel yaştan büyük %15-25 %25’den az %6-32 Klinik Prezentasyon -Tanı -Uterus boyutu -Teka Lutein Kist -Medikal komplikasyon -Postmolar Malign sekel Sıklıkla mevcut Genellikle mevcut Değişken,fokal Fokal Var Yok Yok Diffuz Diffüz Yok Patoloji -Fetus -Amnion,Fetusa ait eritrosit -Ödemli Villus -Trofobilastic Proliferasyon -Trofoblastik stromal inklüzyonlar Parsiyel Komplet 69 XXX/XXY 46 XX/XY Karyotip Özellikler

[object Object],[object Object],[object Object],[object Object],[object Object]

Doğal Seyir ,[object Object],[object Object],[object Object]

Tanı ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

İntermadiate Trofoblast Kaynaklı Tümörler ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Epiteloid Trofoblastik Tm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Non-Neoplastik Trofoblastik Lezyonlar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tedavi öncesi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tedavi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hasta Takibi ,[object Object],[object Object],[object Object],[object Object]

Profilaktik Kemoterapi ,[object Object],[object Object],[object Object]

Seçici Preventif Kemoterapi-1 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Seçici Preventif Kemoterapi-2 ,[object Object],[object Object],[object Object],[object Object]

Persiste eden düşük değerde hCG varlığında ,[object Object],[object Object],[object Object],[object Object]

Sessiz (Quiescent) GTD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fantom hCG ,[object Object],[object Object],[object Object],[object Object],[object Object]

Açıklanamayan hCG yüksekliği ,[object Object],[object Object],[object Object],[object Object],[object Object]

Kontrasepsiyon ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GTN Tanısı Koyma Kriterleri ,[object Object],[object Object],[object Object],[object Object],[object Object]

Adlandırma ,[object Object],[object Object],[object Object],[object Object],[object Object]

GTN Patogenezi ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

İnvaziv Mol ,[object Object],[object Object],[object Object],[object Object],[object Object]

PSTT-1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PSTT-2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Koriokarsinom ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Koriokarsinom ,[object Object],[object Object],[object Object],[object Object],[object Object]

Koriokarsinom ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

İntraplasental Koryokarsinom ,[object Object],[object Object],[object Object],[object Object]

Hiperglikosile HCG ,[object Object],[object Object],[object Object],[object Object],[object Object]

Metastaz Taramasında Önemli Noktalar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tedavi Planı İçin Hastalığın Yaygınlığının Saptanması ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Uterin ve Pelvik Metastazın Saptanmasında Görüntüleme Yöntemleri ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Akciğer Metastazının Saptanması Laboratuar Yöntemler ,[object Object],[object Object],[object Object],[object Object],[object Object]

Beyin Metastazının Saptanmasında Görüntüleme Yöntemleri ,[object Object]

Karaciğer Metastazının Saptanmasında Görüntüleme Yöntemleri ,[object Object],[object Object],[object Object],[object Object],[object Object]

PET ve PET/BT ,[object Object],[object Object],[object Object]

FIGO/DSÖ Evreleme/Skorlama Sistemi (2000 ) ,[object Object],[object Object],[object Object],[object Object],[object Object]

FIGO/DSÖ Evreleme/Skorlama Sistemi (2002) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FIGO/DSÖ Evreleme/Skorlama Sistemindeki Yenilikler ,[object Object],[object Object],[object Object],[object Object],[object Object]

FIGO/DSÖ Evreleme/Skorlama Sisteminde Yenilikler ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tek Ajan Kemoterapisi 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tek Ajan Kemoterapisi 2 ,[object Object],[object Object],[object Object],[object Object]

Kombinasyon KT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Kombinasyon Kemoterapi Protokolleri ,[object Object],[object Object],[object Object],[object Object],[object Object]

İntraarterial KT ,[object Object],[object Object],[object Object],[object Object]

Kt sonrası Takip ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tedavi Süresi ,[object Object],[object Object],[object Object]

Tedavide Cerrahinin Rolü-1 ,[object Object],[object Object],[object Object]

Tedavide Cerrahinin Rolü-2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tedavide Cerrahinin Rolü-3 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tedavide Cerrahinin Rolü-4 ,[object Object],[object Object]

Tedavide RT’nin Yeri ,[object Object],[object Object],[object Object]

Selektif Arterial Embolizasyon 1 ,[object Object],[object Object],[object Object],[object Object]

Selektif Arterial Embolizasyon 2 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Canlı Fetus Varlığı ,[object Object],[object Object],[object Object],[object Object],[object Object]

Takip Eden Gebelikler ,[object Object],[object Object],[object Object]

Fertilite Sonuçları ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ne zaman gebe kalınabilir? ,[object Object],[object Object],[object Object]

Gestasyonel Trofoblastik Hastalıklar - www.jinekolojivegebelik.com

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Gestasyonel Trofoblastik Hastalıklar - www.jinekolojivegebelik.com