The main symptom of choriocarcinoma
summary
Nowadays, choriocarcinoma is not uncommon, mainly in women of childbearing age. Some patients will have this disease after childbirth. It is a malignant tumor, and they will have symptoms of irregular vaginal bleeding. Moreover, lower body discomfort is more common. Choriocarcinoma can be detected by hCG, According to the content of the data to determine the patient's physical condition, can also cooperate with the use of B ultrasound, CT and other examination methods to make a diagnosis, if you have got this disease, also need to carry out reasonable treatment as soon as possible, do not delay. The main symptom of choriocarcinoma
The main symptom of choriocarcinoma
1. Clinical features: for hydatidiform mole, irregular vaginal bleeding after postpartum or abortion, uterus can't recover as scheduled, large and soft, the possibility of choriocarcinoma should be considered.
2. Determination of hCG in blood or urine: the titre increases or hCG in blood or urine is negative and then positive.
3. X-ray lung film: there are globular shadows in the lung, distributed in both lung fields, sometimes only a single metastatic lesion, or several nodules fused into a cotton ball, mass like lesions.
matters needing attention
1. Widely carry out eugenics and eugenics, popularize family planning knowledge, do a good job in contraception, reduce pregnancy opportunities, civilized sex life, prevent the spread of sexually transmitted diseases, and send the tissues to pathology after abortion. 2. After the choriocarcinoma was cured in the near future, it was treated with consolidation chemotherapy for 1-3 courses β- HCG was given once, consolidation chemotherapy was given once after 3 months in normal group, and chemotherapy was given once every half a year in the future. Chemotherapy was not given to patients who did not relapse for 2 years. 3. After choriocarcinoma is cured, contraception should be strictly carried out for 2 years for women who require childbearing period β- The HCG value is affected by contraceptive factors, so it is better to use male condom and female vaginal septum. 4. The chance of malignant transformation of benign trophoblastic tumor is about 10% ~ 20% according to the current literature, so the follow-up work lasts for at least 2 years, and long-term follow-up should be carried out if conditions permit.