Gestational trophoblastic neoplasia history and symptoms: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Gestational trophoblastic neoplasia}} | {{Gestational trophoblastic neoplasia}} | ||
{{CMG}}{{AE}}{{MD}} | {{CMG}}{{AE}}{{MD}}{{Sab}} | ||
==Overview== | ==Overview== | ||
Symptoms of choriocarcinoma include [[vaginal bleeding]], passing of | Gestational trophoblastic neoplasia patients can present with history of previous pregnancies including [[hydatidiform mole]] ([[Hydatidiform mole|molar pregnancy]]) and [[miscarriage]], history of previous [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]], and [[Medical sign|signs]] and [[Symptom|symptoms]] that may suggest [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]. Symptoms of choriocarcinoma include [[vaginal bleeding]], passing of [[Tissue (biology)|tissue]] resembling a “bunch of grapes” from the [[vagina]], and [[Abdomen|abdominal]] distension. | ||
==History== | ==History== | ||
When obtaining history from a [[patient]] with suspected gestational trophoblastic neoplasia, specific areas of focus include: | |||
When obtaining | * History of previous [[pregnancies]], including [[hydatidiform mole]] ([[Hydatidiform mole|molar pregnancy]]) and [[miscarriage]] | ||
* History of previous [[pregnancies]], including [[hydatidiform mole]] (molar pregnancy) and [[miscarriage]] | * History of previous [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]] | ||
* History of previous GTD | * [[Reproductive system|Reproductive]] factors that may increase the risk of [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]] | ||
* Reproductive factors that may increase the risk of gestational trophoblastic disease (GTD) | * A family history of [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]] | ||
* A family history of gestational trophoblastic disease (GTD) | * [[Medical sign|Signs]] and [[Symptom|symptoms]] that may suggest [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]] | ||
* Signs and symptoms that may suggest gestational trophoblastic disease (GTD) | |||
==Symptoms== | ==Symptoms== | ||
===Early | ===Early Symptoms of Gestational Trophoblastic Neoplasia=== | ||
* [[Vaginal bleeding]]<ref name= xxx> Signs and symptoms of gestational trophoblastic disease. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/gestational-trophoblastic-disease/signs-and-symptoms/?region=ns Accessed on October 10, 2015</ref> | * [[Vaginal bleeding]]<ref name="xxx">Signs and symptoms of gestational trophoblastic disease. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/gestational-trophoblastic-disease/signs-and-symptoms/?region=ns Accessed on October 10, 2015</ref> | ||
* [[Nausea]] and [[vomiting]] | * [[Nausea]] and [[vomiting]] | ||
* Passing of tissue resembling a “bunch of grapes” from the vagina | * Passing of [[Tissue (biology)|tissue]] resembling a “bunch of grapes” from the [[vagina]] | ||
* Absent [[fetal]] movement during [[pregnancy]] | * Absent [[fetal]] movement during [[pregnancy]] | ||
* Abdominal | * [[Abdomen|Abdominal]] distension | ||
===Rare | ===Rare Symptoms of Gestational Trophoblastic Neoplasia=== | ||
* [[Headache]] | * [[Headache]] | ||
* [[Edema ]]of the hands and feet | * [[Edema ]]of the [[Hand|hands]] and feet | ||
* Abdominal or pelvic pain | * [[Abdomen|Abdominal]] or [[Pelvis|pelvic]] pain | ||
* Vaginal discharge | * [[Vaginal discharge]] | ||
* Overactive thyroid gland (hyperthyroidism) that causes: | * Overactive [[thyroid gland]] ([[hyperthyroidism]]) that causes: | ||
:* [[Tachycardia]] | :* [[Tachycardia]] | ||
:* [[Sweating]] | :* [[Sweating]] | ||
| Line 31: | Line 30: | ||
:* Heat intolerance | :* Heat intolerance | ||
:* [[Fever]] | :* [[Fever]] | ||
===Late | ===Late Symptoms of Gestational Trophoblastic Neoplasia=== | ||
* [[Hemoptysis]] | * [[Hemoptysis]] | ||
* Dry cough | * Dry [[cough]] | ||
* [[Chest pain]] | * [[Chest pain]] | ||
* Trouble breathing | * Trouble [[breathing]] | ||
* [[Headache]] | * [[Headache]] | ||
* [[Dizziness]] | * [[Dizziness]] | ||
| Line 42: | Line 41: | ||
* [[Seizure]] | * [[Seizure]] | ||
* [[Dysarthria]] and [[dysphasia]] | * [[Dysarthria]] and [[dysphasia]] | ||
* Vision problems | * [[Visual system|Vision]] problems | ||
* Lump in the vagina | * [[Lump]] in the [[vagina]] | ||
==References== | ==References== | ||
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{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Up-To-Date]] | |||
[[Category:Oncology]] | |||
[[Category:Medicine]] | |||
[[Category:Gynecology]] | |||
[[Category:Surgery]] | |||
Latest revision as of 20:06, 19 March 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Monalisa Dmello, M.B,B.S., M.D. [2]Sabawoon Mirwais, M.B.B.S, M.D.[3]
Overview
Gestational trophoblastic neoplasia patients can present with history of previous pregnancies including hydatidiform mole (molar pregnancy) and miscarriage, history of previous gestational trophoblastic disease (GTD), and signs and symptoms that may suggest gestational trophoblastic disease (GTD). Symptoms of choriocarcinoma include vaginal bleeding, passing of tissue resembling a “bunch of grapes” from the vagina, and abdominal distension.
History
When obtaining history from a patient with suspected gestational trophoblastic neoplasia, specific areas of focus include:
- History of previous pregnancies, including hydatidiform mole (molar pregnancy) and miscarriage
- History of previous gestational trophoblastic disease (GTD)
- Reproductive factors that may increase the risk of gestational trophoblastic disease (GTD)
- A family history of gestational trophoblastic disease (GTD)
- Signs and symptoms that may suggest gestational trophoblastic disease (GTD)
Symptoms
Early Symptoms of Gestational Trophoblastic Neoplasia
- Vaginal bleeding[1]
- Nausea and vomiting
- Passing of tissue resembling a “bunch of grapes” from the vagina
- Absent fetal movement during pregnancy
- Abdominal distension
Rare Symptoms of Gestational Trophoblastic Neoplasia
- Headache
- Edema of the hands and feet
- Abdominal or pelvic pain
- Vaginal discharge
- Overactive thyroid gland (hyperthyroidism) that causes:
- Tachycardia
- Sweating
- Shaking
- Heat intolerance
- Fever
Late Symptoms of Gestational Trophoblastic Neoplasia
- Hemoptysis
- Dry cough
- Chest pain
- Trouble breathing
- Headache
- Dizziness
- Jaundice
- Paralysis
- Seizure
- Dysarthria and dysphasia
- Vision problems
- Lump in the vagina
References
- ↑ Signs and symptoms of gestational trophoblastic disease. Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/gestational-trophoblastic-disease/signs-and-symptoms/?region=ns Accessed on October 10, 2015