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Vaginal metastatic trophoblastic cancer is a dangerous disease related to pregnancy, the disease occurs in women of childbearing age. Surgery to remove the nucleus pulposus from vaginal metastases is one of the methods used to treat this disease.1. What is vaginal metastatic trophoblastic cancer?
Gostroblastoma is the collective name for diseases with abnormal proliferation of trophoblastic cells associated with pregnancy. Trophoblastoma is divided into two main types: oocyte and trophoblastic tumor (including persisting trophoblastic disease, invasive oocyte, placental trophoblastic neoplasm, and trophoblastic cancer. gonoblastoma is a condition in which the glioblastoma has metastasized to the vagina or lung
Stages of glioblastoma :
Stage 1: The disease is localized to the uterus Stage 2 : glioblastoma culture metastases outside the uterus, but still limited to the genital tract Stage 3: Disease metastasizes to the lungs Stage 4: Disease metastasizes to other sites.
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2. Diagnosis of trophoblast cancer
History of pregnancy: Usually after a whole egg pregnancy. May appear after partial ovum, postpartum, after miscarriage Patient has prolonged vaginal bleeding. Ultrasound: Uterine or ectopic vascular mass βhCG is usually high, flat, or slowly decreasing. Metastasis: There are nodules with vaginal metastases, bubble image on chest X-ray. Anatomy of uterine and uterine curettage: there are malformed trophoblastic cells, no image of placental hairs.
3. Surgery to remove the nucleus of trophoblastic cancer with metastases in the vagina
Vaginal metastatic trophoblastic surgery is surgery to remove metastatic nuclei in the vagina, indicated in the pathology of patients with metastatic vaginal trophoblastic cancer. This method is contraindicated in patients with too large trophoblastic cysts at risk of perforation of the urethra, rectum or invasion of large blood vessels in the pelvic floor.
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The surgical steps include:
Bladder catheterization Pain relief: Local anesthesia if the tumor is small, if the nodule is large, general anesthesia or spinal anesthesia An incision along the surface of the metastatic mass, using A solid spoon scrapes all metastatic tissues. Sewing the tumor cover with small points. Inserting gauze if it bleeds. If there is a large risk of bleeding, it is necessary to inject local chemicals or radiation first and then peel it off. After surgery, patients are monitored to promptly handle possible postoperative complications such as bleeding, ureter-vaginal fistula, rectal-vaginal fistula.
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SEE ALSO:
Pay attention to abnormal pregnancy symptoms What are the signs of ectopic pregnancy? Does the test stick up 2 lines? Pregnancy after abortion
