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Trophoblastic diseases and pregnancy
Author(s) -
Jauniaux Eric
Publication year - 2003
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.5.3.130
Subject(s) - gestational trophoblastic disease , trophoblast , partial hydatidiform mole , histopathology , obstetrics , placental site trophoblastic tumor , pregnancy , medicine , gynecology , biology , gestation , fetus , pathology , placenta , genetics
Gestational trophoblastic disease (GTD) is a term commonly applied to a spectrum of interrelated disorders originating from the placental trophoblast. These include complete, partial and invasive moles, placental site trophoblastic tumours and choriocarcinomas. Modern genetic and molecular biology techniques enable rapid and accurate diagnosis and have contributed to a better understanding of the pathophysiology of GTD. As a result most women can be treated before they develop severe complications. This review addresses the perinatal diagnosis of GTD and focuses on the roles of ultrasound and Doppler examination in prenatal diagnosis and the importance of histopathology in the postnatal diagnosis of GTD.