What is gestational trophoblastic disease?

Gestational trophoblastic disease, also known as hidatiform mola, is a rare complication characterized by abnormal growth of trophoblasts, which are cells that develop in the placenta and can cause symptoms such as abdominal pain, vaginal bleeding, nausea and vomiting.

This disease can be subdivided into complete or partial hydtiform mola, which are the most common invasive mola, coriocarcinoma and trophoblastic tumor.

  • Treatment usually involves surgery to remove the placenta and endometrial tissues.
  • Which should be done as soon as possible.
  • As this disease can cause complications.
  • Such as the development of cancer.

Gestational trophoblastic disease is divided into

The most common symptoms that can occur in people with gestational trophoblastic disease are reddish-brown vaginal bleeding during the first trimester, nausea and vomiting, abdominal pain, expulsion of cysts from the vagina, rapid growth of the uterus, increased blood pressure, anemia, hyperthyroidism and prelamiaps.

This disease is the result of abnormal fertilization of an empty egg, one or two sperm or a normal egg by 2 sperm, resulting in the multiplication of these chromosomes that result in an abnormal cell, which will multiply.

In general, women under the age of 20 or over 35 have an increased risk of developing gestational trophoblastic disease or those who have already had the disease.

Diagnosis usually involves blood tests to detect the hormone hCG and an ultrasound, in which it is possible to observe the presence of cysts and the absence or abnormalities in fetal tissue and amniotic fluid.

A trophoblastic pregnancy is not feasible so it is necessary to remove the placenta to avoid complications, for this the doctor may perform a liking, which is a surgery in which uterine tissue is removed, in an operating room, after administration of anesthesia.

In some cases, your doctor may even recommend removal of the uterus, especially if there is a risk of developing cancer, if the person does not want to have more children.

After treatment, the person should be accompanied by the doctor and perform regular tests, for about a year, to see if all the tissue has been removed correctly and if there is no risk of developing complications.

Chemotherapy may also be necessary for persistent disease.

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