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gestational trophoblastic disease

GTO

Def GTD include benign malignant


Proliferation of Placental cells

Risk factors mya


1 Age 20 or 35
2 Previous molar Pregnancy
3 Miscarriage
Pre eclampsia

TV US
exR
to exclude metastasis
CT MRI
evaluate Live brain
if malignancy

Coagulation Profile
OIC
hysterectomy indication
I no further Pregnancy is desire
2 women yo t high risk of GIN
controlled hae or
3 un
rage
4 invasive mole t evidence of Perforation

Key Points vesicle


I irregular vagina bleeding t
2 hyper emesis Van

3 Materine enlargement greater than


expected
u early field Pregnancy

B non fetal heart sound

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