RT Book, Section
A1 Webb, Christopher
A1 Weyker, Paul
A1 Haight, Matthew
A2 Freeman, Brian S.
A2 Berger, Jeffrey S.
SR Print(0)
ID 1135743127
T1 Gestational Trophoblastic Disease
T2 Anesthesiology Core Review: Part Two Advanced Exam
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9781259641770
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135743127
RD 2024/10/05
AB Gestational  trophoblastic  disease  (GTD)  encompasses  a  spectrum  of  disorders  related  to  unregulated  growth  arising  from  trophoblastic  cells.  During  normal  pregnancy,  trophoblastic  cells  invade  the  endometrium,  promote  angiogenesis,  and  thus  help  create  a  rich  uterine  vasculature  that  ultimately  becomes  the  placenta.  However,  in  rare  circumstances,  these  cells  can  become  hyperplastic  and  invasive,  presenting  as  a  group  of  diseases  ranging  from  molar  pregnancies  to  metastatic  choriocarcinoma.  Anesthetic  management  is  centered  on  treating  the  specific  medical  complications  associated  with  GTD  while  also  preparing  for  significant  blood  loss  and  cardiopulmonary  instability.