Trophoblastic Neoplasia and Molar Pregnancies Flashcards

1
Q

This type of molar pregnancy is from one egg with no DNA fertilized by 1-2 sperm, has high risk of becoming malignant, there will be no fetal heart rate on US?

A

Complete

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2
Q

This type of molar pregnancy is abnormal tissue + a fetus, is an egg fertilized by 2 sperm, and usually results in spontaneous abortion?

A

Partial molar pregnancy

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3
Q

This molar pregnancy type has 46XX with all chromosome from dad?

A

Complete

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4
Q

This molar pregnancy has 69 XXX or 69 XYY, & the fetus is always malformed and not viable?

A

Partial

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5
Q

This type of molar pregnancy has a HIGH hCG?

A

Complete

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6
Q

This molar pregnancy has a slightly increased hCG & the fetus is seen on US?

A

Partial

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7
Q

What is the treatment for both types of molar pregnancies?

A

E&C now to reduce cancer risk

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8
Q

What is the follow up procedure for monitoring hCG after a molar pregnancy removal?

A

Monitor hCG for 3 weeks in a row
Then monitor monthly

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9
Q

What is the indication of a consistently high hCG after a E&C procedure is completed

A

cancer

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10
Q

How long should people wait to get pregnant after having a molar pregnancy?

A

1 year

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11
Q

What is the main risk for having a molar pregnancy?

A

being <20 y/o or >35y/o

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12
Q

What is an invasive mole?

A

A malignancy from a molar pregnancy

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13
Q

What are the 3 signs of an invasive mole?

A
  • Persistent abnormal uterine bleeding
  • boggy uterus
  • Hyperemesis
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14
Q

If hGC is detectable 6 months post evacuation, what DX is likely

A

invasive mole

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15
Q

What is the diagnostic test for invasive mole and what does it show?

A

Ultra sound
Show high vascular flow

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16
Q

WHat is the treatment for invasive mole?

A

Methotrexate as chemotherapy or hysterectomy

17
Q

What is a HIGHLY malignant epithelial tumor from any type of pregnancy even abortion, ectopic, or molar?

A

Choriocarcinoma

18
Q

Presentation; abnormal uterine bleeding, pelvic pain, pressure in pelvis; Ultrasound shows single mass distending from the uterus with necrosis and hemorrhage?

A

Choriocarcinoma

19
Q

This cancer that results from a pregnancy is chemotherapy resistant & can happen years after pregnancy?

A

Placental site trophoblastic tumor

20
Q

What is the treatment for choriocarcinoma?

A

Methotrexate and surgical resection of affected area

21
Q

An hCG over what level is indicative of a molar pregnancy?

A

> 100,000