Comment diagnostique-t-on une tumeur trophoblastique ?

Le diagnostic repose sur des tests sanguins, échographies et biopsies.

Quels marqueurs tumoraux sont utilisés ?

Les niveaux de l'hormone chorionique gonadotrope (hCG) sont souvent mesurés.

Les échographies sont-elles utiles ?

Oui, elles permettent de visualiser les masses et d'évaluer leur taille.

Quand faut-il suspecter une tumeur trophoblastique ?

Après une grossesse, si des symptômes anormaux ou des niveaux d'hCG élevés persistent.

Peut-on utiliser l'IRM pour le diagnostic ?

L'IRM peut être utilisée pour évaluer l'extension des tumeurs dans certains cas.

Quels sont les symptômes courants ?

Les symptômes incluent des saignements vaginaux, douleurs abdominales et nausées.

Les tumeurs trophoblastiques causent-elles des douleurs ?

Oui, des douleurs abdominales peuvent survenir en raison de la pression exercée.

Y a-t-il des symptômes systémiques ?

Des symptômes comme la fatigue, la fièvre et la perte de poids peuvent apparaître.

Les nausées sont-elles fréquentes ?

Oui, les nausées peuvent être fréquentes, surtout en cas de tumeur avancée.

Peut-on avoir des symptômes sans grossesse récente ?

Oui, des symptômes peuvent apparaître même sans grossesse récente, nécessitant une évaluation.

Peut-on prévenir les tumeurs trophoblastiques ?

Il n'existe pas de méthode de prévention spécifique, mais un suivi médical est conseillé.

Le suivi après une grossesse est-il important ?

Oui, un suivi régulier peut aider à détecter précocement des anomalies.

Les antécédents familiaux influencent-ils le risque ?

Oui, des antécédents familiaux de tumeurs trophoblastiques peuvent augmenter le risque.

Les femmes ayant eu des grossesses multiples sont-elles à risque ?

Oui, les grossesses multiples peuvent augmenter le risque de tumeurs trophoblastiques.

Y a-t-il des recommandations pour les femmes enceintes ?

Un suivi prénatal régulier est recommandé pour surveiller la santé maternelle et fœtale.

Quels traitements sont disponibles ?

Les traitements incluent la chirurgie, la chimiothérapie et la surveillance.

La chimiothérapie est-elle efficace ?

Oui, la chimiothérapie est souvent efficace pour traiter les tumeurs trophoblastiques.

Quand la chirurgie est-elle nécessaire ?

La chirurgie est nécessaire si la tumeur est localisée et accessible.

Y a-t-il des effets secondaires des traitements ?

Oui, des effets secondaires comme la fatigue, les nausées et la perte de cheveux peuvent survenir.

La radiothérapie est-elle utilisée ?

La radiothérapie est rarement utilisée, sauf dans des cas spécifiques de métastases.

Quelles complications peuvent survenir ?

Les complications incluent des saignements, des infections et des métastases.

Les tumeurs trophoblastiques peuvent-elles être mortelles ?

Oui, si elles ne sont pas traitées, elles peuvent entraîner des complications graves.

Comment les métastases se manifestent-elles ?

Les métastases peuvent affecter les poumons, le foie et d'autres organes, causant divers symptômes.

Les complications affectent-elles la fertilité ?

Oui, certaines complications peuvent affecter la fertilité future des femmes.

Y a-t-il des risques psychologiques associés ?

Oui, le diagnostic et le traitement peuvent entraîner des troubles psychologiques chez les patientes.

Quels sont les principaux facteurs de risque ?

Les antécédents de grossesse molaires, les grossesses multiples et l'âge maternel avancé.

L'âge joue-t-il un rôle ?

Oui, les femmes de plus de 35 ans ont un risque accru de développer des tumeurs trophoblastiques.

Les antécédents médicaux influencent-ils le risque ?

Oui, des antécédents de tumeurs trophoblastiques augmentent le risque de récidive.

Les habitudes de vie affectent-elles le risque ?

Certaines habitudes, comme le tabagisme, peuvent influencer le risque de complications.

Les facteurs environnementaux sont-ils impliqués ?

Oui, des facteurs environnementaux peuvent également jouer un rôle dans le développement de ces tumeurs.

Tumeurs trophoblastiques - Informations médicales vérifiées

Comparison of robotic right colectomy and laparoscopic right colectomy: a systematic review and meta-analysis.

07 2023

DOI: 10.1007/s10151-023-02821-2 PMID: 37184773

For right colon surgery, there is an increasing body of literature comparing the safety of robotic right colectomy (RRC) with laparoscopic right colectomy (LRC). The aim of the present systematic revi... PubMed, Web of Science, Embase, and Cochrane Library databases were searched for studies published between January 2000 and January 2022. Length of hospital stay, operation time, rate of conversion to... Forty-two studies (RRC: 2772 patients; LRC: 12,469 patients) were evaluated. Regardless of the type of anastomosis, RRC showed shorter length of hospital stay, lower rate of conversion to laparotomy, ... The safety and efficacy of RRC is superior to LRC, especially when an intracorporeal anastomosis is performed. Most included articles were retrospective, offering low-quality evidence and limited conc...

Humans Robotic Surgical Procedures Retrospective Studies Flatulence Laparoscopy +6 autres

Robotic right colectomy versus laparoscopic right colectomy in patients with right colon cancer: a comparative study.

25 Oct 2024

DOI: 10.1186/s12893-024-02593-y PMID: 39455989

The study aimed to compare the clinical outcomes of robotic right colectomy (RRC) versus laparoscopic right colectomy (LRC) in patients diagnosed with right colon cancer, given the increasing adoption... This retrospective comparative study included patients who underwent right colectomy at Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, between January 2019 and May 2022. The prim... A total of 225 patients (aged 65.23 ± 11.45, 108 males) with right colon cancer were included, with 100 (44.4%) patients underwent RRC. Patients who underwent RRC had significantly more lymph nodes ha... Patients underwent RRC seemed to have significantly more numbers of lymph nodes harvested and higher risk for all-cause death and higher hospitalization costs compared with those underwent LRC. These ... Not applicable....

Humans Colectomy Male Colonic Neoplasms Female +8 autres

Short-term outcomes of single-incision robotic colectomy versus conventional multiport laparoscopic colectomy for colon cancer.

Oct 2023

DOI: 10.1007/s11701-023-01666-z PMID: 37402962

Since the da Vinci SP (dVSP) surgical system was introduced, single-incision robotic surgery (SIRS) for colorectal diseases has gained increasing acceptance. Comparison of the short-term outcomes betw...

Humans Female Male Robotic Surgical Procedures Retrospective Studies +6 autres

Laparoscopic total colectomy with ileorectal anastomosis and subtotal colectomy with antiperistaltic cecorectal anastomosis for slow transit constipation.

Jun 2023

DOI: 10.1007/s13304-023-01458-y PMID: 36914915

To investigate the clinical efficacy of laparoscopic total colectomy with ileorectal anastomosis (TC-IRA) and laparoscopic subtotal colectomy with antiperistaltic cecorectal anastomosis (SC-ACRA) on a...

Adult Humans Antidiarrheals Quality of Life Cecum +6 autres

Ambulatory laparoscopic colectomies: a systematic review.

06 2023

DOI: 10.1111/codi.16511 PMID: 36790358

Ambulatory laparoscopic colectomy (ALC), meaning discharge within 24 h of surgical colonic resection, has recently been proposed in a few, selected patients. This systematic review was performed with ... A PRISMA-compliant systematic review and pooled analysis was performed searching all English studies published until October 2022 in PubMed, Cochrane Library, Web of Science (PROSPERO, CRD42022334463)... Among 1087 studies imported for screening, 11 were included (1296 patients). The success rate was 47% with an overall morbidity of 14%. Readmission and reoperation rates were 5% and 1%, respectively. ... Overall, ALC appears to be safe and feasible in selected cases with an acceptable success rate and a low risk of readmission after hospital discharge. Future studies should evaluate patients' benefits...

Humans Surgical Wound Infection Anastomotic Leak Reoperation Colectomy +3 autres

Weight change after colectomy for ulcerative colitis.

Nov 2022

DOI: 10.1080/00365521.2022.2089537 PMID: 35723916

Weight change after colectomy for ulcerative colitis is unknown. The main objective of this study was to describe weight change during surgical management of ulcerative colitis.... All patients, underwent a subtotal colectomy, then a proctectomy with J ileal pouch anal anastomosis protected by an ileostomy, and finally an ileostomy closure in the context of ulcerative colitis at... Twenty-six patients were included. The median body mass index of healthy weight was 23.3 kg/m... Our study showed for the first time that after colectomy for ulcerative colitis, patients regained their healthy weight, which constitutes a reassuring message for patients before surgery....

Humans Colitis, Ulcerative Colectomy Proctocolectomy, Restorative Ileostomy +1 autres

Haemolytic uraemic syndrome managed with subtotal colectomy.

26 Sep 2023

DOI: 10.1136/bcr-2023-256585 PMID: 37751977

A man in his early 70s was transferred to our hospital due to rapid decline in renal function and inflammation throughout the colon, indicating severe ischaemic enteritis. On the day following the sta...

Humans Male Colectomy Colon Hemolytic-Uremic Syndrome +5 autres

Decisional Regret Among Patients Undergoing Colectomy.

01 12 2022

DOI: 10.1097/DCR.0000000000002375 PMID: 36102861

Patients undergoing colectomy may be at risk for postoperative regret, which is associated with worse quality of life, higher rates of depression, and poorer health outcomes. A better understanding of... This study aimed to identify factors associated with regret in patients undergoing elective and urgent/emergent colectomy.... A retrospective cohort study.... The Michigan Surgical Quality Collaborative, a 73-hospital collaborative, which collects clinical data on general surgery operations.... Patients aged >18 years who underwent elective or urgent/emergent colectomy between January 2017 and March 2020 and who completed a decision regret survey.... Any degree of postoperative regret.... Of 3638 patients, 2,530 (70%) underwent elective and 1108 (30%) underwent urgent/emergent colectomy. Overall, 381 (10.5%) patients reported regret, with higher rates among the urgent/emergent setting ... Hospitals used different sampling strategies, limiting our ability to calculate a true response rate and characterize nonresponders.... One in 10 patients reported regret after colectomy with higher rates in those undergoing urgent/emergent colectomy. Factors associated with regret were different between surgical settings. Efforts are... ANTECEDENTES:Los pacientes que se someten a una colectomía pueden estar en riesgo de arrepentimiento post operatorio, la cual está asociada con una peor calidad de vida, mayores tasas de depresión y p...

Humans Female Retrospective Studies Quality of Life Risk Factors +3 autres

Comparison of short-term outcomes and survival between minimally invasive colectomy and open colectomy in patients 80 years of age and older.

Aug 2023

DOI: 10.1007/s11701-023-01575-1 PMID: 37022559

We investigated the short- and long-term outcomes of patients 80 years of age and older with colon cancer who underwent robotic colectomy versus laparoscopic colectomy. Data for patients treated at a ...

Humans Aged Robotic Surgical Procedures Retrospective Studies Colonic Neoplasms +6 autres

Decreasing rates of colectomy for benign neoplasms: A nationwide analysis.

2023

DOI: 10.1371/journal.pone.0293389 PMID: 37878628

Despite advances in endoscopic techniques for management of benign colonic neoplasms, a rise in rates of surgical treatment has been reported. We used a nationally representative cohort to characteriz... All patients undergoing elective partial colectomy for benign or malignant colonic neoplasms were identified using the 2012-2019 National Inpatient Sample. Those presenting with inflammatory bowel dis... Of 569,280 colectomy procedures included for analysis, 153,435 (27.0%) were performed for benign lesions. The proportion of Benign operations decreased from 28.6% in 2012 to 23.7% in 2019 (P for trend... The present national study identifies a decrease in colectomy for benign polyps from 2012-2019. Future investigations should identify patients who would most benefit from surgical resection and addres...

Humans Colonic Neoplasms Colectomy Inflammatory Bowel Diseases Brain Neoplasms +1 autres

Tumeurs trophoblastiques : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

Choriocarcinome

Maladie trophoblastique gestationnelle

Choriocarcinome non gestationnel

Tumeur trophoblastique du site d'implantation placentaire

Môle hydatiforme

Môle invasive

Auteurs principaux

Sources (684 au total)