侵袭性葡萄胎和绒毛膜癌共享精品课件.ppt

侵袭性葡萄胎和绒毛膜癌;概述;病理;;;临床表现;;;;;;诊断;;;鉴别诊断;临床分期和预后评分;;治疗;（1）单一药物化疗;(2)联合化疗;EMA-CO方案;(3)疗效评判;（4）毒副反应防治;（5）停药指征;2.手术;3.放射治疗：目前应用较少，主要用于脑转移和肺部耐药病灶的治疗。 4.耐药复发病例的治疗：可选择的二线化疗药物有异环磷酰胺，顺铂，卡铂，博来霉素等。化疗方案主要有PVB（顺铂，长春新碱，博来霉素），BEP（博来霉素，依托泊苷，顺铂） VIP（依托泊苷，异环磷酰胺，顺铂或卡铂）等。手术和放疗是有效的辅助治疗手段。;随访;-Lo1Ps5Tw9WAd#DhHk-Lo2Ps5Tw9WAd#EhHl-Lo2Ps5Tw9XAd#EhHl-Lo2Ps6Tw9XAd#EhHl-Lp2Ps6Tw9XAd!EhIl-Lp2Ps6TwaXAd!EhIl-Lp2Pt6TwaXAd!Eh*Il-Mp2Pt6TwaXAe!Eh*Il-Mp2Pt6TxaXAe!Eh*Il-Mp2Qt6TxaXAe!Ei*Il+Mp2Qt6TxaXBe!Ei*Il+Mp2Qt6UxaXBe!Ei*Il+Mp3Qt6UxaXBe!Fi*Im+Mp3Qt6UxaYBe!Fi*Im+Mp3Qt7UxaYBe!Fi*Im+Mq3Qt7UxaYBe$Fi*Jm+Mq3Qt7UxbYBe$Fi*Jm+Mq3Qu7UxbYBe$Fi(Jm+Nq3Qu7UxbYBf$Fi(Jm+Nq3Qu7UybYBf$Fi(Jm+Nq3Ru7UybYBf$Fj(Jm0Nq3Ru7UybYCf$Fj(Jm0Nq3Ru7VybYCf$Fj(Jm0Nq4Ru7VybYCf$Gj(Jn0Nq4Ru7VybZCf$Gj(Jn0Nq4Ru8VybZCf$Gj(Kn0Nr4Ru8VybZCf%Gj(Kn0Nr4Ru8VycZCf%Gj(Kn0Nr4Rv8VycZCf%Gj)Kn0Or4Rv8VycZCg%Gj)Kn0Or4Rv8VzcZCg%Gj)Kn0Or4Sv8VzcZCg%Gk)Kn1Or4Sv8VzcZDg%Gk)Kn1Or4Sv8WzcZDg%Gk)Kn1Or5Sv8WzcZDg%Hk)Ko1Or5Sv8Wzc#Dg%Hk)Ko1Or5Sv9Wzc#Dg%Hk)Lo1Os5Sv9Wzc#DgHk)Lo1Os5Sv9Wzd#DgHk)Lo1Os5Sw9Wzd#DgHk-Lo1Ps5Sw9Wzd#DhHk-Lo1Ps5Sw9WAd#DhHk-Lo1Ps5Tw9WAd#DhHl-Lo2Ps5Tw9WAd#EhHl-Lo2Ps5Tw9XAd#EhHl-Lp2Ps6Tw9XAd#EhIl-Lp2Ps6Tw9XAd!EhIl-Lp2Ps6TwaXAd!EhIl-Mp2Pt6TwaXAd!Eh*Il-Mp2Pt6TwaXAe!Eh*Il-Mp2Pt6TxaXAe!Eh*Il+Mp2Qt6TxaXAe!Ei*Il+Mp2Qt6TxaXBe!Ei*Il+Mp2Qt6UxaXBe!Ei*Im+Mp3Qt6UxaXBe!Fi*Im+Mp3Qt6UxaYBe!Fi*Im+Mq3Qt7UxaYBe!Fi*Jm+Mq3Qt7UxaYBe$Fi*Jm+Mq3Qt7UxbYBe$Fi*Jm+Nq3Qu7UxbYBe$Fi(Jm+Nq3Qu7UxbYBf$Fi(Jm+Nq3Qu7UybYBf$Fi(Jm0Nq3Ru7UybYBf$Fj(Jm0Nq3Ru7UybYCf$Fj(Jm0Nq4Ru7VybYCf$Fj(Jn0Nq4Ru7VybYCf$Gj(Jn0Nq4Ru7VybZCf$Gj(Jn0Nr4Ru8VybZCf$Gj(Kn0Nr4Ru8VybZCf%Gj(Kn0Nr4Ru8VycZCf%Gj(Kn0Or4Rv8VycZCf%Gj)Kn0Or4Rv8VycZCg%Gj)Kn0Or4Sv8VzcZCg%Gj)Kn1Or4Sv8VzcZCg%Gk)Kn1Or4Sv8VzcZDg%Gk)Kn1Or5Sv8WzcZDg%Gk)Ko1Or5Sv8WzcZDg%Hk)Ko1Or5Sv8Wzc#Dg%Hk)Ko1Os5Sv9Wzc#Dg%Hk)Lo1Os5Sv9WCg%Gj)Kn1Or4Sv8VzcZDg%Gk)Kn1Or4Sv8WzcZDg%Gk)Kn1Or5Sv8WzcZDg%Hk)Ko1Or5Sv8Wzc#Dg%Hk)Ko1Or5Sv9Wzc#Dg%Hk)Ko1Os5Sv9Wzc#DgHk)Lo1Os5Sv9Wzd#DgHk)Lo1Os5Sw9Wzd#DgHk)Lo1Ps5Sw9Wzd#DhHk-Lo1Ps5Sw9WAd#DhHk-Lo1Ps5Tw9WAd#DhHl-Lo2Ps5Tw9WAd#EhHl-Lo2Ps5Tw