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{{Choriocarcinoma}}
{{Gestational trophoblastic neoplasia}}
{{CMG}}
{{CMG}}{{AE}}{{MD}}{{Sab}}
 
 
==Overview==
==Overview==
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==
When obtaining history from a [[patient]] with suspected gestational trophoblastic neoplasia, specific areas of focus include:
* History of previous [[pregnancies]], including [[hydatidiform mole]] ([[Hydatidiform mole|molar pregnancy]]) and [[miscarriage]]
* History of previous [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]
* [[Reproductive system|Reproductive]] factors that may increase the risk of [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]
* A family history of [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]
* [[Medical sign|Signs]] and [[Symptom|symptoms]] that may suggest [[Gestational trophoblastic disease|gestational trophoblastic disease (GTD)]]


==History and Symptoms==
==Symptoms==
symptoms of gestational trophoblastic disease
===Early Symptoms of Gestational Trophoblastic Neoplasia===
* [[Vaginal bleeding]]
* [[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>
* Swelling of the abdomen
* [[Nausea]] and [[vomiting]]  
* With a hydatidiform mole, the abdomen and uterus may grow at a much faster rate than with a normal pregnancy
* Passing of  [[Tissue (biology)|tissue]] resembling a “bunch of grapes” from the [[vagina]]
* [[Nausea]] and [[vomiting]] or [[hyperemesis gravidarum]]
* Absent [[fetal]] movement during [[pregnancy]]
* Passing of  tissue resembling a “bunch of grapes” from the vagina
* [[Abdomen|Abdominal]] distension
* Absent fetal movement during pregnancy
===Rare Symptoms of Gestational Trophoblastic Neoplasia===
Rare signs and symptoms of GTD are:
* [[Headache]]
* [[headache]]
* [[Edema ]]of the [[Hand|hands]] and feet
* [[edema ]]of the hands and feet
* [[Abdomen|Abdominal]] or [[Pelvis|pelvic]] pain
* overactive thyroid gland (hyperthyroidism) that causes:
* [[Vaginal discharge]]
* [[Tachycardia]]
* Overactive [[thyroid gland]] ([[hyperthyroidism]]) that causes:
* warm skin
:* [[Tachycardia]]
* [[sweating]]
:* [[Sweating]]
* shaking
:* Shaking
* heat intolerance
:* Heat intolerance
* abdominal or pelvic pain
:* [[Fever]]
* vaginal discharge
===Late Symptoms of Gestational Trophoblastic Neoplasia===
* [[fever]]
Late signs and symptoms
* [[Hemoptysis]]
* [[Hemoptysis]]
* dry cough
* Dry [[cough]]
* chest pain
* [[Chest pain]]
* trouble breathing
* Trouble [[breathing]]
* headache
* [[Headache]]
* [[dizziness]]
* [[Dizziness]]
* [[jaundice]]
* [[Jaundice]]
* paralysis
* [[Paralysis]]
* 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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[[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:

Symptoms

Early Symptoms of Gestational Trophoblastic Neoplasia

Rare Symptoms of Gestational Trophoblastic Neoplasia

Late Symptoms of Gestational Trophoblastic Neoplasia

References

  1. 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

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