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Good end of pregnancy, want to give birth safely how can be cancer to find the upper body? How did the malignant cells in the urinary cavity crawl into their heads? Sasha (a 33-year-old) is a second-born mother from Fuyang, Hangzhou, a month ago she just underwent a caesarean section plus a major opening surgery after several courses of chemotherapy what is the force of pregnancy and malignant tumors linked? In Zhejiang University Medical College affiliated with the first hospital gynaecologists wire peeling to capture the "pit girl" of the disease culprit - velvet cancer, a highly malignant nourishing cell tumor and pregnancy is closely related to all women talk about color change, avoid "thanks to Zhejiang University Hospital gynaecology, thanks to Director Qian Jianhua! "In the gynaecology ward, the 25-bed Sasha went through the rest of her life, and her husband Chen Yang (analyte) spoke for her.
A month ago, she had just undergone a caesarean section plus a major open-cranial surgery, at present Sasha is still not very Liso, her face thin, twinkling big eyes but revealed the desire to be born, perhaps God was moved by the obsessiveness of the doctor, perhaps to hear Sasha's thirst for life, doctors and patients hand in hand, together difficult to overcome ... Pregnant and pregnant, even intracranial haemorrhage was born in 1987 Sasha and 1986 husband Chen Yang is a native of Hangzhou Fuyang, the two from xiaoqing Mei Zhuma, husband engaged in trade business, she is a housewife, and a 7-year-old daughter.
, Sasha became pregnant again, and the couple were both pleasantly surprised and looking forward to waiting for the small life to land.
the sweetness of being a mother again, plus a timely pregnancy test, in addition to having pregnancy high blood pressure, during pregnancy, Sasha did not appear obvious physical abnormalities.
early September this year, the good days came to an abrupt end, 30 weeks pregnant she began to appear unexplained dizziness headache, and from time to time nausea and vomiting, vision is increasingly blurred.
family took her to a local hospital, where she was diagnosed with pre-eclampsia and treated for decompression spasms.
s considering Sasha's condition, on October 6th, at 32 weeks and 2 days pregnant, the obstetrics and gynaecology doctor at the local hospital performed a caesarean section on her and she gave birth to a healthy baby girl.
the day after the operation, Sasha fell into a coma.
Skull CT prompted that her brain's left frontal frontal leaf a lot of bleeding, emergency open cranial hematoma removal surgery, she struggled with death in the ICU for more than 30 hours, although through the ghost door, but the right half of the body completely lost consciousness and appeared "motor aphasia", has always been fast-speaking, intelligent Sasha, although she can understand her husband's anxious call, but can no longer flow, complete response.
the opening of the skull surgery, Sasha's symptoms of cerebral hemorrhage were not fully controlled, she was in a serious condition, signs of life is unstable, october 22, was transferred to a large hospital in the province to continue treatment.
results of lesions in some of the blood clots removed from her skull showed that sasha's brain haemorrhage was caused by "velvet cancer", which not only crawled into her brain, but also spread to her kidneys and lungs.
's complicated condition has put the hospital's doctors on the back, recommending that they try their luck in Beijing and Shanghai.
Chen Yang took Sasha to several major hospitals in Shanghai for treatment, all of which were turned away because of the difficulty of the disease.
The couple were recommended to the Zhejiang University Hospital Gynaecology Director Qian Jianhua's team of doctors for treatment, because in the diagnosis and treatment of pregnancy nourishing cell tumors, Qian Jianhua Director has a wealth of clinical experience.
Gestation nourishing cell tumors and pregnancy are closely related" pregnancy nourishing cells are post-pregnancy placental fluff and fluffy outer nourishment layer of cells, it grows rapidly, can absorb nutrients from the mother for embryo development and growth.
But abnormal growth can lead to nourishing cell diseases, including benign grape fetals, aggressive grape fetals, and fluffy membrane cancer (velvet cancer), both of which are collectively called pregnancy nourishing cell tumors.
" Qian Jianhua director introduced, pregnancy nourishing cell tumor is a disease that endangers the health of women of childbearing age, whether timely standardized treatment has a great impact on the prognostic.
is a high incidence of pregnancy nourishing cell tumors.
November 3, Director Qian Jianhua received a paraplegic and aphatic Sasha, she immediately carried out a detailed assessment of the young mother's condition, very unfortunate, Sasha "trick" disease is highly malignant velvet cancer (phase IV), accompanied by multiple metastasis of the lungs, kidneys and brain, belonging to the very high-risk pregnancy nourishing cell tumors.
Qian Jianhua's team of directors to learn a key clue: in 2018, Sasha was pregnant with a grape tire.
but after the grape, the tumor index hCG value dropped to normal, the chance of evil change is very small.
that the onset of the disease and this pregnancy, child production is inextricably linked? The answer is yes.
November 10, Dr. Zheng Jiesheng, Deputy Director of Neurosurgery, Deputy Director of Radiology, Dr. Zhong Baishou, Deputy Director of Therabiology, and Director of Gynaecology Qian Jianhua conducted a multidisciplinary joint diagnosis and treatment of Sasha.
, based on Sasha's condition and her current physical condition, Director Qian Jianhua developed a complete treatment plan for Sasha.
The good news is that after two courses of treatment, Sasha's tumor index hCG value from the pre-treatment of more than 800,000 to more than 500, Sasha has been able to get out of bed walking and can carry out simple language communication, the condition has improved significantly.
Found velvet cancer, these signals do not ignore the post-pregnancy placental fluff nourishment cell growth edema, the formation of different sizes of blisters, each blister by the ti-linked string, much like grapes, so called "vine fetal."
incidence of grape births in China is about 8/10000 pregnancies, of which Zhejiang Province has the highest incidence.
Aggressive grape fetuses are all secondary to grape tires, while velvet cancer is likely to occur in any normal, abnormal pregnancy, for example, grape fetuses, spontaneous abortion and even extraterrestrial pregnancy, and velvet cancer clinical performance variation, 40% of patients in the uterus without primary lesions, can be shown as different site metastatic tumor symptoms, see other departments, more easily misdiagnosed.
Director Qian Jianhua introduced, compared to invasive grape tires, velvet cancer is extremely malignant, and prone to early widespread metastasis.
before chemotherapy was used to treat velvet cancer, it had a mortality rate of more than 90 percent.
, effective and standardized chemotherapy can greatly improve the prognostics of patients, the vast majority of patients can reach a cure.
" hCG level is the main diagnostic basis for pregnancy nourishing cell tumors.
After full-time birth, miscarriage, and ecgenic pregnancy, hCG will mostly be negative at about 4 weeks, if the blood hCG is still at a high level for more than 4 weeks, or after a decline and then rise, after the removal of pregnancy residues or re-pregnancy, pregnancy should be highly suspected of nourishing cell tumors.
and 15 to 20% of the complete grape fetals will viciously become pregnancy nourishing cell tumors, so the hCG platform or rebound after the grape fetal emptying to consider pregnancy nourishing cell tumors.
" experts once again stressed how to be alert and early detection of velvet cancer: 1. For grape fetuses, full-time birth, abortion, irregular bleeding after an alien pregnancy can never be underestimated, we must find out the cause.
2. Don't forget hCG for urine or blood - up to normal levels 7 to 8 days after full-month delivery.
30 days, 95% of mothers turned negative.
urine pregnancy test after full-time or miscarriage, sustained positive for more than 1 month, or once negative and then positive, exclusion of residual or re-pregnancy should be highly suspected of velvet cancer.
3. After the grape tire is drained hCG platform or rebound, remove residual or re-pregnancy, not velvet cancer, but also evil Portuguese.
are often associated with the transfer site: 80% of the lungs, respectively, 30% vagina, 20% pelvic cavity, 10% liver, 10% brain, digestive tract , 5%; 70 to 74% can show persistent irregular vaginal bleeding; low fever, cough, fatigue, blackness, headache, etc.; blurred vision, quadriplegia, movement disorders, if the above symptoms, do not forget to check hCG.
Director Qian Jianhua said that although the level of cancer is very high, but also the first can be cured by chemotherapy solid tumors, so there is "God's first Cancer, human's firstcure" said, and other tumors, even if there is metastasis, patients still have a chance of cure.
although pregnancy nourishing cell tumors is a very common disease, for women of childbearing age, the possibility of pregnancy nourishing cell tumors also needs to be considered in the face of complex and confusing conditions.
Zhejiang University Hospital gynaecology Qian Jianhua director team in the past 3 years has received more than 10 cases of pregnancy nourishing cell brain transfer patients, have achieved good results, not only saved the patient's life but also to preserve the patient's reproductive function.
here, Director Qian Jianhua once again stressed that after the discovery of pregnancy nourishing cell tumors, we must go to an experienced hospital for treatment, because timely and standardized treatment is very important for the prognostic.
JiangChen Zhu Xiaoxu Source: Zhejiang University Copyright Notice: All text, pictures and audio and video materials that indicate "Source: Mets Medicine" or "Source: MedSci Original" are owned by Meis Medical, not authorized, and may not be reproduced by any media, website or individual, and shall be reproduced with the words "Source: Mets Medicine".
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