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

Early Mobilization, Early Ambulation, and Burn Therapy in the Acute Hospital Setting.

11 2023

DOI: 10.1016/j.pmr.2023.06.029 PMID: 37806694

Rehabilitation therapies in the burn acute care environment continue to evolve. Immediate access to therapy is considered standard, and therapy is a key component of the transprofessional care team. E...

Humans Early Ambulation Intensive Care Units Burns Walking +1 autres

Impact of Early Ambulation on the Prognosis of Coronary Artery Bypass Grafting Patients.

25 01 2023

DOI: 10.1253/circj.CJ-22-0416 PMID: 36351594

The effect of delayed ambulation on the outcome of coronary artery bypass grafting (CABG) remains to be clarified.Methods and Results: The long-term and in-hospital outcomes of 887 patients who underw... In isolated CABG patients, delayed ambulation was associated with poor outcomes, even in the long-term period. The results support the current guideline recommending early ambulation protocol after ca...

Humans Coronary Artery Bypass, Off-Pump Early Ambulation Treatment Outcome Coronary Artery Bypass +5 autres

Early ambulation after total knee arthroplasty: a retrospective single-center study.

29 Jul 2024

DOI: 10.1186/s13018-024-04883-w PMID: 39075550

Early ambulation is an important step in accelerating post-joint replacement surgery recovery. However, there is limited research on populations who are unable to walk immediately after the operation.... Primary TKA patients were included in this retrospective study. All patients were divided into two groups. Patients who began walking within 24 h were categorized as the early ambulation group, while ... A total of 453 patients (79.0% female, 21.0% male) were included in this study. The average age of all patients was 68.5±7.9 years, ranging from 36 to 87 years, with an average BMI of 27.2±9.9 kg/... In this study, preoperative coagulation function, intraoperative blood loss and the placement of intraoperative drains were factors contributing to delay ambulation time. Therefore, it is believed tha...

Humans Arthroplasty, Replacement, Knee Female Male Retrospective Studies +8 autres

Timing of inpatient medical complications after adult spinal deformity surgery: early ambulation matters.

02 2023

DOI: 10.1016/j.spinee.2022.09.001 PMID: 36152773

The substantial risk for medical complication after adult spinal deformity (ASD) surgery is well known. However, the timing of medical complications during the inpatient stay have not been previously ... (1) Describe the rate of medical complication and adverse events by postoperative day after ASD surgery and (2) determine whether early ambulation is protective for complications.... Single institution retrospective cohort study.... Two hundred thirty-five patients with ASD who underwent posterior-only fusion of the lumbar spine (≥5 levels to the pelvis) between 2013 and 2020.... Medical complications, categorized per the International Spine Study Group-AO system (cardiopulmonary [CP], gastrointestinal [GI], central nervous system [CNS], infectious [nonsurgical site], and rena... Patients were identified from an institutional ASD database. Outcome measures were classified by the first postoperative day the event was recognized. Demographics, year of surgery, surgical factors, ... After exclusions of patients with incomplete medical chart data, 191 patients were available for analysis, mean age 66±10 y, BMI 28±5 kg/m2, PI-LL 24±20°, T1PA 28±13°. Inpatient medical complications ... Our data may inform peri-operative management and patient expectations for hospitalization after ASD surgery. Early ambulation may reduce the risk of complications....

Humans Adult Middle Aged Aged Inpatients +6 autres

Early ambulation and postoperative recovery of patients with lung cancer under thoracoscopic surgery-an observational study.

11 Apr 2023

DOI: 10.1186/s13019-023-02263-9 PMID: 37041603

Enhanced recovery after surgery guidelines in China recommend early ambulation within 24 h after surgery. The aims of this audit were to investigate the early ambulation of patients with lung cancer u... Using observational study method, observe and record of 226 cases under the thoracoscope surgery early ambulation of patients with lung cancer. Data collected included postoperative bowel movements, c... The time of first ambulation was (34.18 ± 17.18) h, the duration was (8.26 ± 4.62) min, and the distance was (54.94 ± 46.06) m. The time of first postoperative defecation, the time of chest tube extub... Early ambulation within 24 h after thoracoscopic surgery for lung cancer patients can promote the recovery of intestinal function, early removal of chest tube, shorten the length of hospital stay, rel...

Humans Early Ambulation Thoracic Surgery, Video-Assisted Lung Neoplasms Postoperative Complications +1 autres

Association of position change and back massage and early ambulation with post-transfemoral coronary angiography complications.

09 2022

DOI: 10.1016/j.jvn.2022.08.003 PMID: 36414367

Transfemoral coronary angiography (TFCA) may be associated with postoperative complications, such as oozing, bleeding, ecchymosis, hematoma, and back pain. Thus, nursing practice must help enhance pat... This study aimed to assess the association of position change and back massage (PCBM) and early ambulation (EA) with the development of post-TFCA complications.... This study adopted a randomized controlled trial design and was conducted at the coronary care unit of a university hospital in Egypt. A sample of 185 patients undergoing TFCA was evaluated during the... Comparing the two groups based on post-TFCA complications, the PCBM group had a lower frequency of bleeding, ecchymosis, hematoma and severe lower back pain whereas the EA group had a lower frequency ... PCBM post-TFCA can lower the frequency of significant vascular complications.... Adopting PCBM may be valuable in post-TFCA nursing practice....

Humans Coronary Angiography Early Ambulation Ecchymosis Femoral Artery +4 autres

Early ambulation versus prolonged bed rest for incidental durotomies in spine procedures: a systematic review and meta-analysis.

22 Nov 2023

DOI: 10.1007/s10143-023-02201-2 PMID: 37989906

Incidental durotomies are frequent complications of spine surgery associated with cerebrospinal fluid (CSF) leak-related symptoms. Management typically involves prolonged bed rest to reduce CSF pressu...

Humans Early Ambulation Bed Rest Spine Neurosurgical Procedures +4 autres

Effectiveness of the self-fatigue assessment in guiding early postoperative ambulation in gynaecological oncology patients: study protocol for a randomised controlled trial.

01 06 2022

DOI: 10.1136/bmjopen-2021-057733 PMID: 35649597

Enhanced recovery after surgery (ERAS) guidelines strongly recommends that patients be in early postoperative ambulation within 24 hours. This study aims to assess the effectiveness and safety of the ... This is a single-centre, randomised, open, parallel-controlled trial. Five hundred and fifty-two patients who meet the inclusion criteria for gynaecological oncology surgery are randomly assigned in a... This study was approved by the Independent Ethics Committee of Xiangyang Central Hospital affiliated with Hubei University of Arts and Sciences and registered with the China Clinical Trials Registry i... CTR2100046035....

Early Ambulation Fatigue Humans Neoplasms Postoperative Period +2 autres

Erector spinae plane block in laparoscopic colorectal surgery for reducing opioid requirement and facilitating early ambulation: a double-blind, randomized trial.

25 07 2023

DOI: 10.1038/s41598-023-39265-5 PMID: 37491384

Various techniques have been formulated to reduce pain and ensure early recovery after surgery, as these are major concerns among surgeons, anesthesiologists, and patients. Erector spinae plane block ...

Humans Analgesics, Opioid Colorectal Surgery Early Ambulation Laparoscopy +4 autres

Grip strength is an important predictor for nutritional risk and early postoperative ambulation in gastrointestinal tumors undergoing laparoscopic surgery: a prospective multicenter clinical study.

30 Aug 2023

DOI: 10.1186/s12957-023-03163-x PMID: 37644549

Using grip strength as a predictor of nutritional risk and early ambulation for gastrointestinal tumor surgery and determining its critical value have not been reported. This study was designed to exp... Four-hundred twenty-seven patients with gastrointestinal tumors who underwent laparoscopic surgery at three tertiary A hospitals in Beijing were prospectively enrolled. Subsequently, logistic regressi... The included cases were comprised of 283 male and 144 female patients, with an age of 59.35 ± 11.70 years. Gender, preoperative grip strength, operative time, and number of indwelling tubes were indep... As a simple and objective measure of muscle strength, grip strength measurement is expected to be an effective predictor for both early postoperative ambulation ability and nutritional status of patie...

Humans Female Male Middle Aged Aged +5 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 (10000 au total)